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1649917212
DERRICK BENJAMIN GRAHAM
LUBBOCK, TX
NPI
1649917212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10080217)
Enumeration Date
2022-05-16
Last Update Date
2023-05-18
Business Address
DERRICK BENJAMIN GRAHAM MD
3601 4TH ST - STOP 7217
LUBBOCK, TX 79430-7217
Phone number: 806-743-2020
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Mailing Address
DERRICK BENJAMIN GRAHAM MD
3601 4TH ST - STOP 7217
LUBBOCK, TX 79430-7217
Phone number: 806-743-2020
Copy
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