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1548755614
DEREK BACCO
DANVILLE, PA
NPI
1548755614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
DEREK BACCO
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6211
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Mailing Address
DEREK BACCO
14519 OTIS DR
NORTH HUNTINGDON, PA 15642-1011
Phone number: 412-592-4494
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