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1437331105
DERRICK LEWIS
TACOMA, WA
NPI
1437331105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-12-04
Last Update Date
2007-12-04
Business Address
-- DERRICK LEWIS
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number: 253-759-9544
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Mailing Address
-- DERRICK LEWIS
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number:
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