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1972266401
DERRICK THOMAS YEAGER
GRAND FORKS, ND
NPI
1972266401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ND 1102-1-1-21A)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
DERRICK THOMAS YEAGER LAPC
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201-3593
Phone number: 701-780-6821
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Mailing Address
DERRICK THOMAS YEAGER LAPC
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201-3593
Phone number: 701-780-6821
Copy
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