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1417317678
DERRICK C SHIRE
OMAHA, NE
NPI
1417317678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NE 1884)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
Dr. DERRICK C SHIRE D.C.
262 N 114TH ST
OMAHA, NE 68154-2515
Phone number: 402-502-3433
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Mailing Address
Dr. DERRICK C SHIRE D.C.
262 N 114TH ST
OMAHA, NE 68154-2515
Phone number: 402-502-3433
Copy
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