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1144778127
DEREK LEQUIRE
LOS ANGELES, CA
NPI
1144778127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: HI LSW-2299)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- DEREK LEQUIRE MSW
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
-- DEREK LEQUIRE MSW
3663 BUCHANAN ST SPACE 59
RIVERSIDE, CA 92503-4891
Phone number: 951-733-4293
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