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1861772188
DERICK CHAN
OAKLAND, CA
NPI
1861772188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-08-17
Last Update Date
2011-08-17
Business Address
-- DERICK CHAN
544 INTERNATIONAL BLVD APT 9
OAKLAND, CA 94606-2973
Phone number: 510-677-6660
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Mailing Address
-- DERICK CHAN
544 INTERNATIONAL BLVD APT 9
OAKLAND, CA 94606-2973
Phone number: 510-677-6660
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