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1366791121
DEREK WAYNE FENNELL
CHINA, ME
NPI
1366791121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
227900000X Respiratory Therapist, Registered
(Licence: ME th1597)
Enumeration Date
2012-09-07
Last Update Date
2012-09-07
Business Address
-- DEREK WAYNE FENNELL RRT
95 TARYBELU LN
CHINA, ME 04358-4000
Phone number: 207-623-8411
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Mailing Address
-- DEREK WAYNE FENNELL RRT
95 TARYBELU LN
CHINA, ME 04358-4000
Phone number: 207-623-8411
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