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1528203445
DEREK MCMAHAN
CHESTERTON, IN
NPI
1528203445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05007962A)
Enumeration Date
2008-12-05
Last Update Date
2016-01-11
Business Address
-- DEREK MCMAHAN PT
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
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Mailing Address
-- DEREK MCMAHAN PT
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6560
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