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1386150712
DERRICK GAUSE
COLUMBUS, GA
NPI
1386150712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2017-12-21
Last Update Date
2017-12-21
Business Address
DERRICK GAUSE
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
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Mailing Address
DERRICK GAUSE
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number:
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