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1811126923
DERIK THOMPSON
VIRGINIA BEACH, VA
NPI
1811126923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 0136000166)
Enumeration Date
2009-07-09
Last Update Date
2019-12-19
Business Address
DERIK THOMPSON CSA
2085 LYNNHAVEN PKWY STE 106-308
VIRGINIA BEACH, VA 23456-1497
Phone number: 757-573-3479
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Mailing Address
DERIK THOMPSON CSA
2085 LYNNHAVEN PKWY STE 106-308
VIRGINIA BEACH, VA 23456-1497
Phone number: 757-573-3479
Copy
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