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1568154680
DERRICK EARL WOOTEN
WASHINGTON, DC
NPI
1568154680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
DERRICK EARL WOOTEN
3423 5TH ST SE APT 12
WASHINGTON, DC 20032-5443
Phone number: 202-554-2199
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Mailing Address
DERRICK EARL WOOTEN
250 MISSION BOULEVARD 305
BALTIMORE, MD 21230
Phone number: 443-929-4522
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