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1154141679
DERRICK DESHAWN BANKS
CAMARILLO, CA
NPI
1154141679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
DERRICK DESHAWN BANKS
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-366-4040
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Mailing Address
DERRICK DESHAWN BANKS
1722 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-366-4040
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