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1598194946
DERRICK MULLINS
HOLLAND, MI
NPI
1598194946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502003389)
Enumeration Date
2013-11-06
Last Update Date
2013-11-06
Business Address
-- DERRICK MULLINS
1221 E 16TH ST
HOLLAND, MI 49423-9127
Phone number: 616-396-7095
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Mailing Address
-- DERRICK MULLINS
10655 RILEY ST
ZEELAND, MI 49464-6856
Phone number: 313-333-6355
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