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1699531954
DEREK ILG
LOWELL, MA
NPI
1699531954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA 265820)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
DEREK ILG
295 VARNUM AVE
LOWELL, MA 01854-2134
Phone number: 978-937-6237
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Mailing Address
DEREK ILG
7 NEEDHAM ST
NORTH CHELMSFORD, MA 01863-1637
Phone number: 978-337-2450
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