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1588738769
DEREK LAYNE WRIGHT
POCATELLO, ID
NPI
1588738769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M9718)
Enumeration Date
2006-11-20
Last Update Date
2012-12-06
Business Address
DEREK LAYNE WRIGHT MD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-208-4700
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Mailing Address
DEREK LAYNE WRIGHT MD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-208-4700
Copy
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