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1023661618
RETERRICK EMMEL WILLIAMS
BATON ROUGE, LA
NPI
1023661618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 011177033)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
RETERRICK EMMEL WILLIAMS
1049 SWAN AVE
BATON ROUGE, LA 70807-4573
Phone number:
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Mailing Address
RETERRICK EMMEL WILLIAMS
1049 SWAN AVE
BATON ROUGE, LA 70807-4573
Phone number: 318-538-8583
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