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1801647284
DEREK BOYD SOUTHWICK
MUNCIE, IN
NPI
1801647284
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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
2024-04-01
Last Update Date
2024-04-01
Business Address
DEREK BOYD SOUTHWICK MD
221 N CELIA AVE
MUNCIE, IN 47303-4609
Phone number: 765-747-8413
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Mailing Address
DEREK BOYD SOUTHWICK MD
221 N CELIA AVE
MUNCIE, IN 47303-4609
Phone number: 765-747-8413
Copy
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