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1629403084
DERIC FITZGERALD
CERRITOS, CA
NPI
1629403084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-09-04
Last Update Date
2014-03-20
Business Address
-- DERIC FITZGERALD
10929 SOUTH ST SUITE 208B
CERRITOS, CA 90703-5340
Phone number: 562-924-5526
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Mailing Address
-- DERIC FITZGERALD
10929 SOUTH ST SUITE 208B
CERRITOS, CA 90703-5340
Phone number: 562-924-5526
Copy
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