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1912979535
DERRELL MURRELL THOMAS
JACKSONVILLE, FL
NPI
1912979535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3361)
Enumeration Date
2006-02-07
Last Update Date
2007-12-06
Business Address
Mr. DERRELL MURRELL THOMAS PA-C
655 W 8TH ST UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4405
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Mailing Address
Mr. DERRELL MURRELL THOMAS PA-C
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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