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1255162111
DERRICK WILSON
WASHINGTON, DC
NPI
1255162111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: DC MT2457)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
DERRICK WILSON MT
2701 ONTARIO RD NW
WASHINGTON, DC 20009-2144
Phone number: 202-299-9005
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Mailing Address
DERRICK WILSON MT
883 CLOPPER RD APT A4
GAITHERSBURG, MD 20878-4424
Phone number: 518-421-7242
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