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1316620800
DEREK EDWARD VANOUS
SANTA CRUZ, CA
NPI
1316620800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 304588)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
Dr. DEREK EDWARD VANOUS DPT
2724 SOQUEL AVE STE B
SANTA CRUZ, CA 95062-1434
Phone number: 831-475-2565
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Mailing Address
Dr. DEREK EDWARD VANOUS DPT
18410 MCCLELLAN CIR
EAST GARRISON, CA 93933-4967
Phone number: 785-955-0496
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