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1538749312
DERRICK L JOHNSON
FLORISSANT, MO
NPI
1538749312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
DERRICK L JOHNSON
1150 GRAHAM RD
FLORISSANT, MO 63031-8077
Phone number: 314-225-9645
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Mailing Address
DERRICK L JOHNSON
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
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