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1194309989
IDRISSA DERRA
BRUNSWICK, OH
NPI
1194309989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2021-05-08
Last Update Date
2022-11-28
Business Address
IDRISSA DERRA
3906 TURNBRIDGE CT UNIT 311
BRUNSWICK, OH 44212-3093
Phone number: 216-801-5639
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Mailing Address
IDRISSA DERRA
3906 TURNBRIDGE CT UNIT 311
BRUNSWICK, OH 44212-3093
Phone number: 216-801-5639
Copy
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