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1225820103
DEREK LEE JOHNSON
MORGANTOWN, WV
NPI
1225820103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2025-05-19
Last Update Date
2025-05-19
Business Address
DEREK LEE JOHNSON
960 CHESTNUT RIDGE RD APT 208
MORGANTOWN, WV 26505-1509
Phone number: 304-888-3107
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Mailing Address
DEREK LEE JOHNSON
13 FIVE FORKS DR
MORGANTOWN, WV 26508-9024
Phone number:
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