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Derquan Manns

NPI 1528671393 · on the registry since 2020

Practice

Address
54 72nd St
Kopperston, WV 24854
Phone
(304) 918-4480

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Male
Record last updated
2020-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia