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1548847833
DEREK KENT
IDAHO FALLS, ID
NPI
1548847833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-17312)
Enumeration Date
2021-03-24
Last Update Date
2024-07-02
Business Address
DEREK KENT MD
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
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Mailing Address
DEREK KENT MD
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
Copy
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