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1720583131
DERRICK BINES
BERKELEY, CA
NPI
1720583131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
DERRICK BINES
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720-4300
Phone number: 510-642-9494
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Mailing Address
DERRICK BINES
1301 FERRY ST APT 4
EUGENE, OR 97401-6304
Phone number:
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