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1629680889
DEREK GLENN BRUBAKER
LANCASTER, PA
NPI
1629680889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP022377)
Enumeration Date
2020-08-19
Last Update Date
2023-11-27
Business Address
DEREK GLENN BRUBAKER
555 N DUKE ST
LANCASTER, PA 17602-2250
Phone number: 717-544-4995
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Mailing Address
DEREK GLENN BRUBAKER
539 W WALNUT ST
LANCASTER, PA 17603-3337
Phone number: 717-575-5087
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