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1669847497
DERRICK EDMOND
NEW ORLEANS, LA
NPI
1669847497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-04
Last Update Date
2018-06-05
Business Address
DERRICK EDMOND
3901 ULLOA ST
NEW ORLEANS, LA 70119
Phone number: 504-267-5712
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Mailing Address
DERRICK EDMOND
3901 ULLOA ST
NEW ORLEANS, LA 70119-6942
Phone number:
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