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1740819754
DEREK CASEY
FORT LAUDERDALE, FL
NPI
1740819754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-02
Last Update Date
2020-04-02
Business Address
DEREK CASEY
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-468-4068
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Mailing Address
DEREK CASEY
2550 SW 18TH TER APT 2115
FORT LAUDERDALE, FL 33315-2252
Phone number:
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