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1073810057
DERRICK F HALE
DETROIT, MI
NPI
1073810057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-02-28
Last Update Date
2011-02-28
Business Address
-- DERRICK F HALE
1852 W GRAND BLVD
DETROIT, MI 48208-1006
Phone number: 313-894-8444
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Mailing Address
-- DERRICK F HALE
16146 PETOSKEY AVE
DETROIT, MI 48221-3045
Phone number: 313-570-4437
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