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1427662436
DERICK IAN BECIOS MANABAT
LAS VEGAS, NV
NPI
1427662436
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Professional Name
DERICK MANABAT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-07
Last Update Date
2020-09-07
Business Address
DERICK IAN BECIOS MANABAT
5412 BOULDER HWY
LAS VEGAS, NV 89122-6039
Phone number: 702-291-7121
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Mailing Address
DERICK IAN BECIOS MANABAT
5412 BOULDER HWY
LAS VEGAS, NV 89122-6039
Phone number: 702-291-7121
Copy
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