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1003532946
MARVIN BRIEN KING
CONYERS, GA
NPI
1003532946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: GA 21141461)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
MARVIN BRIEN KING
367 GOLFCREST DR SE
CONYERS, GA 30094-3639
Phone number: 248-694-1328
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Mailing Address
MARVIN BRIEN KING
367 GOLFCREST DR SE
CONYERS, GA 30094-3639
Phone number: 248-694-1328
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