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Individual
DEREK L ROBERTS
Active
Individual
DEREK L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-77798-092
KS
Other
Enumeration date
08/07/2017
Last updated
07/09/2021
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