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1710287446
DEREK MOHAMMAD MCCRARY
OXNARD, CA
NPI
1710287446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
DEREK MOHAMMAD MCCRARY B.A.
627 RICHMOND AVE
OXNARD, CA 93030
Phone number: 805-285-2099
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Mailing Address
DEREK MOHAMMAD MCCRARY B.A.
345 W RODERICK AVE
OXNARD, CA 93030-4329
Phone number: 805-758-7554
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