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1699375915
DERRICK DARNELL GILLS
SOUTHFIELD, MI
NPI
1699375915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
DERRICK DARNELL GILLS
29935 NORTHWESTERN HWY
SOUTHFIELD, MI 48034-1020
Phone number: 248-356-6590
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Mailing Address
DERRICK DARNELL GILLS
18415 NEW HAMPSHIRE DR
SOUTHFIELD, MI 48075-2736
Phone number: 248-499-4912
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