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IDRISSA DERRA
Contractor
NPI: 1194309989Individual
Specialties, Licenses & Credentials
ContractorPrimary
Contractor
Code: 171W00000X
Contact & Hours
- Address
- 3906 TURNBRIDGE CT UNIT 311
BRUNSWICK, OH 44212 - Phone
- (216) 801-5639
Quick Facts
- NPI
- 1194309989
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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