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Individual

DR. DEREK DECAGNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
40 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 447-2222
Mailing address
40 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003189A
IN

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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