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1922740158
DEREK LAMONT TRYIAL
ELK GROVE, CA
NPI
1922740158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: CA 35960R1)
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
DEREK LAMONT TRYIAL
9245 LAGUNA SPRINGS DR STE 213
ELK GROVE, CA 95758-7991
Phone number: 916-529-2359
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Mailing Address
DEREK LAMONT TRYIAL
9245 LAGUNA SPRINGS DR STE 213
ELK GROVE, CA 95758-7991
Phone number: 916-529-2359
Copy
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