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1366017097
DERRICK MAXWELL
SEATTLE, WA
NPI
1366017097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
(Licence: WA CM60457664)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
DERRICK MAXWELL
8444 RAINIER AVE S
SEATTLE, WA 98118-4655
Phone number: 253-833-7444
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Mailing Address
DERRICK MAXWELL
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-833-7444
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