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1164111761
DERRICK LEWIS
STOCKTON, CA
NPI
1164111761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
DERRICK LEWIS
87 W MARCH LN
STOCKTON, CA 95207-5741
Phone number: 209-342-7353
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Mailing Address
DERRICK LEWIS
87 W MARCH LN
STOCKTON, CA 95207-5741
Phone number:
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