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1366637159
DERRICK SMITH
LONG BEACH, CA
NPI
1366637159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-09-13
Last Update Date
2013-05-14
Business Address
Mr. DERRICK SMITH
100 E WARDLOW RD LONG BEACH
LONG BEACH, CA 90807-4417
Phone number: 562-427-6818
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Mailing Address
Mr. DERRICK SMITH
1030 1/2 N MAGNOLIA AVE APT 228
ANAHEIM, CA 92801-3148
Phone number: 562-537-9068
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