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1457960098
DERRICK GARNER SMITH
LAGUNA HILLS, CA
NPI
1457960098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
DERRICK GARNER SMITH
24422 AVENIDA DE LA CARLOTA STE 190
LAGUNA HILLS, CA 92653-3634
Phone number: 949-340-6937
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Mailing Address
DERRICK GARNER SMITH
30 CORPORATE PARK STE 307
IRVINE, CA 92606-5130
Phone number: 949-857-6051
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