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1699272153
DEREK SISAK
CHARLOTTESVILLE, VA
NPI
1699272153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: VA 0104557344)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
DEREK SISAK DC
2109 INDIA RD
CHARLOTTESVILLE, VA 22901-2886
Phone number: 434-978-4888
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Mailing Address
DEREK SISAK DC
2109 INDIA RD
CHARLOTTESVILLE, VA 22901-2886
Phone number: 434-978-4888
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