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1275626095
PHILLIP T DETURK
WEST LAFAYETTE, IN
NPI
1275626095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71002161A)
Enumeration Date
2006-10-02
Last Update Date
2023-03-07
Business Address
Mr. PHILLIP T DETURK NP
124 SAGAMORE PKWY WEST
WEST LAFAYETTE, IN 47906
Phone number: 765-463-6722
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Mailing Address
Mr. PHILLIP T DETURK NP
124 SAGAMORE PKWY WEST
WEST LAFAYETTE, IN 47906
Phone number: 765-463-6722
Copy
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