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1588973945
DERRICK S HINES
PHOENIX, AZ
NPI
1588973945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: AZ 31380)
Enumeration Date
2010-10-04
Last Update Date
2010-10-04
Business Address
-- DERRICK S HINES M.D.
15648 N 35TH AVE
PHOENIX, AZ 85053-3861
Phone number: 623-930-8705
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Mailing Address
-- DERRICK S HINES M.D.
15648 N 35TH AVE
PHOENIX, AZ 85053-3861
Phone number: 623-930-8705
Copy
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