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1477797215
DERRICK WALTER STREETS
DOWNEY, CA
NPI
1477797215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-04-23
Last Update Date
2009-04-23
Business Address
Mr. DERRICK WALTER STREETS B.A.
9150 IMPERIAL HWY
DOWNEY, CA 90242-2835
Phone number: 562-940-3694
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Mailing Address
Mr. DERRICK WALTER STREETS B.A.
1660 W MISSION BLVD
POMONA, CA 91766-1200
Phone number: 909-469-4507
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