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1023322633
JASON BRANDON DAVIS
LEXINGTON, SC
NPI
1023322633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: SC 31141)
Enumeration Date
2010-08-06
Last Update Date
2010-08-06
Business Address
MR. JASON BRANDON DAVIS
172 ELVINGTON LN
LEXINGTON, SC 29073-8875
Phone number: 803-767-8733
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Mailing Address
MR. JASON BRANDON DAVIS
172 ELVINGTON LN
LEXINGTON, SC 29073-8875
Phone number: 803-767-8733
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