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1821626052
DERICK C DAVIS
KANSAS CITY, MO
NPI
1821626052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
-- DERICK C DAVIS
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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Mailing Address
-- DERICK C DAVIS
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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