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1912190034
DERRICK JASON BRUMFIELD
LOGAN, WV
NPI
1912190034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 002504)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
Mr. DERRICK JASON BRUMFIELD mpt
1000 W PARK AVE
LOGAN, WV 25601-3155
Phone number: 304-752-8723
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Mailing Address
Mr. DERRICK JASON BRUMFIELD mpt
1000 W PARK AVE
LOGAN, WV 25601-3155
Phone number: 304-752-8723
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