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1124573944
DERRIS HER
MODESTO, CA
NPI
1124573944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2016-08-22
Last Update Date
2017-11-22
Business Address
DERRIS HER B.A.
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-579-9444
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Mailing Address
DERRIS HER B.A.
2630 W RUMBLE RD
MODESTO, CA 95350-0155
Phone number: 209-579-9444
Copy
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