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Transportation Services Non-emergency Medical Transport (VAN)

Provider NPI: 1356540389

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 918-426-3658  Fax: --

Business Mailing Address:
PO BOX 199  SAVANNA, OK 74565 US
Tel: 918-426-3658  Fax: --

NPI Information:
NPI: 1356540389
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 343900000X





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