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1104120781
DERICKA CANADA
LOUISVILLE, KY
NPI
1104120781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-12-22
Last Update Date
2010-12-22
Business Address
-- DERICKA CANADA
914 E BROADWAY
LOUISVILLE, KY 40204-1037
Phone number: 502-589-8600
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Mailing Address
-- DERICKA CANADA
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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