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1912547597
DEREK RYAN ALLEN
MESA, AZ
NPI
1912547597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ RN174073)
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
DEREK RYAN ALLEN CRNA
6644 E BAYWOOD AVE
MESA, AZ 85206-1747
Phone number: 480-321-2000
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Mailing Address
DEREK RYAN ALLEN CRNA
1101 N GILBERT RD APT 1111
GILBERT, AZ 85234-8611
Phone number: 480-294-9223
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