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1003384041
DEMOND LAVAR SHIELDS
MARION, AR
NPI
1003384041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: AR 23601)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
DEMOND LAVAR SHIELDS E.M.T.
130 BARTON CV
MARION, AR 72364-1601
Phone number: 901-828-8832
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Mailing Address
DEMOND LAVAR SHIELDS E.M.T.
130 BARTON CV
MARION, AR 72364-1601
Phone number: 901-828-8832
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