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1710591581
DERICK GREEN
YOUNGSTOWN, OH
NPI
1710591581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-08-31
Last Update Date
2020-08-31
Business Address
DERICK GREEN
130 E PHILADELPHIA AVE
YOUNGSTOWN, OH 44507-1734
Phone number: 330-717-5661
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Mailing Address
DERICK GREEN
130 E PHILADELPHIA AVE
YOUNGSTOWN, OH 44507-1734
Phone number: 330-717-5661
Copy
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