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1093015000
DERECK L DILLARD
NEWARK, NJ
NPI
1093015000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2010-10-25
Last Update Date
2022-05-05
Business Address
Mr. DERECK L DILLARD
870 S ORANGE AVE
NEWARK, NJ 07106-1944
Phone number: 646-355-5583
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Mailing Address
Mr. DERECK L DILLARD
870 S ORANGE AVE
NEWARK, NJ 07106-1944
Phone number: 646-355-5583
Copy
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