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1871038109
DEREK HENDERSON
EVERETT, WA
NPI
1871038109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NH 1680)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2016-12-22
Last Update Date
2021-02-19
Business Address
DEREK HENDERSON
3726 BROADWAY STE 201
EVERETT, WA 98201-3788
Phone number: 425-317-9119
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Mailing Address
DEREK HENDERSON
3726 BROADWAY STE 201
EVERETT, WA 98201-3788
Phone number: 425-317-9119
Copy
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