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1063646610
COREY A BURGESS
SUMTER, SC
NPI
1063646610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
341600000X Ambulance
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2009-05-12
Last Update Date
2016-02-19
Business Address
Mr. COREY A BURGESS
3236 HWY 15 S
SUMTER, SC 29150-9657
Phone number: 803-506-2005
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Mailing Address
Mr. COREY A BURGESS
1775 BRIGATINE DR
SUMTER, SC 29154-7377
Phone number: 803-406-4886
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