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1023442639
DERRICK EDDIE
LAS VEGAS, NV
NPI
1023442639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
-- DERRICK EDDIE
5420 W SAHARA AVE STE 201
LAS VEGAS, NV 89146-0389
Phone number: 702-882-7827
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Mailing Address
-- DERRICK EDDIE
5420 W SAHARA AVE STE 201
LAS VEGAS, NV 89146-0389
Phone number: 702-882-7827
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