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1548617574
DERRICK ANTHONY CHATMAN
RIVERSIDE, CA
NPI
1548617574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 255725)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- DERRICK ANTHONY CHATMAN Lvn
9990 COUNTY FARM RD
RIVERSIDE, CA 92503-3542
Phone number: 951-358-6031
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Mailing Address
-- DERRICK ANTHONY CHATMAN Lvn
9990 COUNTY FARM RD
RIVERSIDE, CA 92503-3542
Phone number: 951-358-6031
Copy
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