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1558137323
DERRICK THOMPSON
POWAY, CA
NPI
1558137323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-01
Last Update Date
2023-12-01
Business Address
DERRICK THOMPSON
14251 DANIELSON ST
POWAY, CA 92064-8818
Phone number: 858-699-7579
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Mailing Address
DERRICK THOMPSON
14251 DANIELSON ST
POWAY, CA 92064-8818
Phone number: 858-699-7579
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