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1801346002
KATIE DERRICK
CHEEKTOWAGA, NY
NPI
1801346002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 297402)
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
KATIE DERRICK
232 ARIS AVE
CHEEKTOWAGA, NY 14206-1943
Phone number: 716-435-5605
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Mailing Address
KATIE DERRICK
232 ARIS AVE
CHEEKTOWAGA, NY 14206-1943
Phone number:
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