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1104199173
TIMICA LYNN DERRICK
LAS VEGAS, NV
NPI
1104199173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- TIMICA LYNN DERRICK
4801 E SAHARA AVE APT 310
LAS VEGAS, NV 89104-6327
Phone number: 702-785-7627
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Mailing Address
-- TIMICA LYNN DERRICK
4801 EAST SAHARA AVE #310
LAS VEGAS, NV 89104
Phone number:
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