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1063769362
SERGEY PUSTOVOY
CITRUS HEIGHTS, CA
NPI
1063769362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: CA GEN-06296)
Enumeration Date
2012-08-07
Last Update Date
2014-08-11
Business Address
-- SERGEY PUSTOVOY
7433 GREENBACK LN STE I
CITRUS HEIGHTS, CA 95610-5696
Phone number: 916-470-8424
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Mailing Address
-- SERGEY PUSTOVOY
7328 THALIA WAY
CITRUS HEIGHTS, CA 95621-5595
Phone number: 916-470-8424
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