DERRICK JAMES DERKSEN

OKLAHOMA CITY, OK
NPI1184182016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-03-11
Last Update Date2019-03-11
Business Address
DERRICK JAMES DERKSEN BA CADC Candidate
5401 SW 29TH ST
OKLAHOMA CITY, OK 73179-7602
Phone number: 405-686-7828
Mailing Address
DERRICK JAMES DERKSEN BA CADC Candidate
716 ROYAL AVE
MIDWEST CITY, OK 73130-2713
Phone number: 405-640-5220
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