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1578188348
DEREK J HOLMES
WAUWATOSA, WI
NPI
1578188348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
DEREK J HOLMES
10111 W CAPITOL DR STE 8
WAUWATOSA, WI 53222-1335
Phone number: 414-207-1852
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Mailing Address
DEREK J HOLMES
10111 W CAPITOL DR STE 8
WAUWATOSA, WI 53222-1335
Phone number: 414-207-1852
Copy
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