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1851037352
DEREK NORDSTROM
FORT LAUDERDALE, FL
NPI
1851037352
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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
2022-05-08
Last Update Date
2022-05-08
Business Address
Dr. DEREK NORDSTROM MD
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-4400
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Mailing Address
Dr. DEREK NORDSTROM MD
1300 E MEADOWLARK BLVD APT 14-206
DERBY, KS 67037-9455
Phone number: 417-629-2006
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