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1548763261
DERICKA BANKS
COLUMBUS, OH
NPI
1548763261
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Former Name
DEEICKA HAWKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 164977.MEDS-IV)
Enumeration Date
2018-03-09
Last Update Date
2018-03-09
Business Address
DERICKA BANKS
306 NATIONWIDE BLVD
COLUMBUS, OH 43228-2029
Phone number: 614-554-6208
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Mailing Address
DERICKA BANKS
306 NATIONWIDE BLVD
COLUMBUS, OH 43228-2029
Phone number:
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