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1093582090
DEREK ANTHONY ANDERSON
MOUNT VERNON, WA
NPI
1093582090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: WA NC61125493)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
DEREK ANTHONY ANDERSON
1315 E DIVISION ST
MOUNT VERNON, WA 98274-4134
Phone number: 360-734-5410
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Mailing Address
DEREK ANTHONY ANDERSON
1315 E DIVISION ST
MOUNT VERNON, WA 98274-4134
Phone number: 360-734-5410
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