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1952878332
DEREK Q DARK
HOUMA, LA
NPI
1952878332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-24
Last Update Date
2024-07-22
Business Address
DEREK Q DARK
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360-2811
Phone number: 985-293-7322
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Mailing Address
DEREK Q DARK
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360-2811
Phone number: 985-293-7322
Copy
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