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1063903995
MICHAEL JAMIEL GREEN
CHESAPEAKE, VA
NPI
1063903995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-05-26
Last Update Date
2018-05-26
Business Address
Mr. MICHAEL JAMIEL GREEN
3816 SCHOONER TRL
CHESAPEAKE, VA 23321-3215
Phone number: 757-618-3273
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Mailing Address
Mr. MICHAEL JAMIEL GREEN
PO BOX 9424
CHESAPEAKE, VA 23321-9424
Phone number: 757-618-3273
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