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1750131488
DEREK VANDEWATER
ADRIAN, MI
NPI
1750131488
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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
2024-03-25
Last Update Date
2024-03-25
Business Address
DEREK VANDEWATER
110 S MADISON ST
ADRIAN, MI 49221-2575
Phone number: 517-265-5161
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Mailing Address
DEREK VANDEWATER
6789 MARSHALL ST
CANTON, MI 48187-1660
Phone number: 734-558-9299
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