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Emergency Medical Service Providers Emergency Medical Technician, Paramedic

Provider NPI: 1487949988

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 401-525-1533  Fax: --

Business Mailing Address:
PO BOX 2271  PAWTUCKET, RI 02861-0271 US
Tel: 401-525-1533  Fax: --

NPI Information:
NPI: 1487949988
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y146L00000XEmergency Medical Service Providers
Emergency Medical Technician, Paramedic

Other Provider Identifiers:

IRS EIN27-5417265RI01

American Medical Association 2012 taxonomy code information

Code: 146L00000X





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