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1720011232
DEREK T BENNETSEN
DALLAS, TX
NPI
1720011232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX M2257)
Enumeration Date
2006-07-08
Last Update Date
2008-11-20
Business Address
-- DEREK T BENNETSEN DO
12221 MERIT DR SUITE 1610
DALLAS, TX 75251-2202
Phone number: 214-217-1911
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Mailing Address
-- DEREK T BENNETSEN DO
12221 MERIT DR SUITE 1610
DALLAS, TX 75251-2202
Phone number:
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