JUSTIN DERRICKSON

PRESTONSBURG, KY
NPI1831883297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-06-07
Last Update Date2023-06-07
Business Address
JUSTIN DERRICKSON
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
JUSTIN DERRICKSON
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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