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1083447437
LAZORA LYNETTE LEAVY
JACKSONVILLE, AR
NPI
1083447437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: AR 2125)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
LAZORA LYNETTE LEAVY
900 SHALL CT
JACKSONVILLE, AR 72076-2422
Phone number: 501-680-7499
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Mailing Address
LAZORA LYNETTE LEAVY
900 SHALL CT
JACKSONVILLE, AR 72076-2422
Phone number: 501-680-7499
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