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1982255840
DERICK HOLCOMB
TAMPA, FL
NPI
1982255840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
DERICK HOLCOMB
18115 PALM BEACH DR
TAMPA, FL 33647-4048
Phone number: 305-793-0769
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Mailing Address
DERICK HOLCOMB
10232 GRANT CREEK DR
TAMPA, FL 33647-2932
Phone number: 305-793-0769
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