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1780460386
DERRICK ANTONIO EDWARDS
MURRIETA, CA
NPI
1780460386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-07
Last Update Date
2023-11-01
Business Address
DERRICK ANTONIO EDWARDS
24275 JEFFERSON AVE
MURRIETA, CA 92562-7285
Phone number: 951-677-5599
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Mailing Address
DERRICK ANTONIO EDWARDS
24275 JEFFERSON AVE
MURRIETA, CA 92562-7285
Phone number: 951-677-5599
Copy
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