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1942767173
DERRICK WADE SMITH
RENO, NV
NPI
1942767173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: NV 1204211713)
Enumeration Date
2019-02-24
Last Update Date
2019-02-24
Business Address
DERRICK WADE SMITH
8670 SILVER SHORES DR
RENO, NV 89506-2153
Phone number: 775-621-6187
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Mailing Address
DERRICK WADE SMITH
8670 SILVER SHORES DR
RENO, NV 89506-2153
Phone number: 775-621-6187
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