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1376121541
DEREK LANE PRINCE
RIVERSIDE, CA
NPI
1376121541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-30
Last Update Date
2021-03-30
Business Address
Dr. DEREK LANE PRINCE MD
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4199
Phone number: 951-788-3000
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Mailing Address
Dr. DEREK LANE PRINCE MD
1801 W 11TH AVE
SPOKANE, WA 99204-4231
Phone number:
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