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1851030647
DERRICK BARR
PONTIAC, MI
NPI
1851030647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 5151015727)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
DERRICK BARR
44405 WOODWARD AVE
PONTIAC, MI 48341-5023
Phone number: 248-858-3000
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Mailing Address
DERRICK BARR
5473 SANDLEWOOD CT
WATERFORD TOWNSHIP, MI 48329-3487
Phone number: 406-214-5724
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