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1053642678
DEREK THOMAS
MONROE, LA
NPI
1053642678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA Z20245)
Enumeration Date
2010-01-21
Last Update Date
2010-01-21
Business Address
-- DEREK THOMAS
6700 HIGHWAY 165 N
MONROE, LA 71203-8753
Phone number: 318-625-4709
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Mailing Address
-- DEREK THOMAS
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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