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1518259308
DERRICK A FARHAT
SAN DIEGO, CA
NPI
1518259308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 237550)
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
-- DERRICK A FARHAT LVN
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
-- DERRICK A FARHAT LVN
2027 WINDMILL VIEW RD
EL CAJON, CA 92020-1351
Phone number: 760-300-6418
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