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1588489009
DEREK OWEN DUVALL
GLASGOW, KY
NPI
1588489009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KY 4030483)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
MR. DEREK OWEN DUVALL APRN
106 W FRONT ST
GLASGOW, KY 42141-2804
Phone number: 270-629-2444
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Mailing Address
MR. DEREK OWEN DUVALL APRN
633 HAMPTON DRIVE
BOWLING GREEN, KY 42103-1639
Phone number: 270-320-0025
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