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1508373143
DEREK AUSTIN DEAN
DOTHAN, AL
NPI
1508373143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-134163)
Enumeration Date
2018-01-04
Last Update Date
2018-03-17
Business Address
DEREK AUSTIN DEAN
4370 W MAIN ST
DOTHAN, AL 36305-1056
Phone number: 334-793-5000
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Mailing Address
DEREK AUSTIN DEAN
235 BOUGAINVILLEA CIR
DOTHAN, AL 36301-5825
Phone number: 334-791-0970
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