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1245645811
DERRICK EVERETT
CANTON, OH
NPI
1245645811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
-- DERRICK EVERETT
3719 MIDDLEBRANCH AVE NE 0
CANTON, OH 44705-5021
Phone number: 330-327-0965
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Mailing Address
-- DERRICK EVERETT
3719 MIDDLEBRANCH AVE NE 0
CANTON, OH 44705-5021
Phone number: 330-327-0965
Copy
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