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1508481870
DERREL EMON HENDERSON
BAKERSFIELD, CA
NPI
1508481870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
DERREL EMON HENDERSON
6024 FRIANT DR
BAKERSFIELD, CA 93309-1914
Phone number: 661-395-0369
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Mailing Address
DERREL EMON HENDERSON
3218 BROOKFIELD LOOP
BAKERSFIELD, CA 93311-2389
Phone number: 661-865-1607
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