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1871181875
KIRK ALLEN DEHERDER
LAKE ORION, MI
NPI
1871181875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704327543)
Enumeration Date
2021-01-05
Last Update Date
2022-02-23
Business Address
Mr. KIRK ALLEN DEHERDER FNP-BC
1455 S LAPEER RD STE 100
LAKE ORION, MI 48360-1468
Phone number: 248-693-3551
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Mailing Address
Mr. KIRK ALLEN DEHERDER FNP-BC
1455 S LAPEER RD STE 100
LAKE ORION, MI 48360-1468
Phone number: 248-693-3551
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