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1922359454
DERRICK TROY BURNETT
CONVERSE, TX
NPI
1922359454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
Mr. DERRICK TROY BURNETT
8355 CRESTWAY DR APT 620
CONVERSE, TX 78109-3613
Phone number: 210-429-4536
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Mailing Address
Mr. DERRICK TROY BURNETT
8355 CRESTWAY DR APT 620
CONVERSE, TX 78109-3613
Phone number: 210-429-4536
Copy