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1780822841
DERRICK JOHN MATHIS
MANASSAS, VA
NPI
1780822841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: VA 1706000192)
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
-- DERRICK JOHN MATHIS ALFA
9827 SUDLEY MANOR DR
MANASSAS, VA 20109-6232
Phone number: 703-530-7751
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Mailing Address
-- DERRICK JOHN MATHIS ALFA
9827 SUDLEY MANOR DR
MANASSAS, VA 20109-6232
Phone number: 703-530-7751
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