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1912926601
DEREK JEREMY JOHN
WAUSAU, WI
NPI
1912926601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 2306-057)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. DEREK JEREMY JOHN PhD
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944
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Mailing Address
Dr. DEREK JEREMY JOHN PhD
631 FOREST ST
WAUSAU, WI 54403-5524
Phone number: 715-842-0944
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