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Marie J Derilus

Chiropractor in Round Rock, TX. Individual provider (NPI-1).

NPI number1982169165
StatusActive
Last updated in NPPESFeb 1, 2019

Details

NPI
1982169165
Entity type
Individual (NPI-1)
Name
Marie J Derilus
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 1, 2019
Last updated
Feb 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor13954TXYes

Practice location

102 E Old Bowman Rd Ste C
Round Rock, TX 78664-2296

Phone 512-589-2702

Mailing address

102 E Old Bowman Rd Ste C
Round Rock, TX 78664-2296

Phone 512-589-2702

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