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1467913590
DEREK JUDE KRINOCK
LITTLE ROCK, AR
NPI
1467913590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-29
Last Update Date
2019-03-29
Business Address
DEREK JUDE KRINOCK MD
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-6627
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Mailing Address
DEREK JUDE KRINOCK MD
2021 N LEMANS BLVD UNIT 2311
TAMPA, FL 33607-1141
Phone number: 269-903-9256
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