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1689123432
DERRICK HOWERTON
HIXSON, TN
NPI
1689123432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
-- DERRICK HOWERTON
4951 BRIGHTON LN
HIXSON, TN 37343-4260
Phone number: 423-255-9657
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Mailing Address
-- DERRICK HOWERTON
4951 BRIGHTON LN
HIXSON, TN 37343-4260
Phone number: 423-255-9657
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