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1306365267
DERRICK DENNIS-DEAN NELSON
EAST LANSING, MI
NPI
1306365267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
DERRICK DENNIS-DEAN NELSON
2775 E LANSING DR
EAST LANSING, MI 48823-7755
Phone number: 517-332-1616
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Mailing Address
DERRICK DENNIS-DEAN NELSON
2775 E LANSING DR
EAST LANSING, MI 48823-7755
Phone number:
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