DERICK R HARRIS

PATRICK AFB, FL
NPI1396975363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-07-23
Last Update Date2009-07-23
Business Address
-- DERICK R HARRIS
1321 S PATRICK DR
PATRICK AFB, FL 32925-3606
Phone number: 321-494-8245
Mailing Address
-- DERICK R HARRIS
17211 32ND LN N
LOXAHATCHEE, FL 33470-3610
Phone number: 202-253-7557
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