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1104402890
CLINTON LEVI LONG
HOUSTON, TX
NPI
1104402890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: TX 28641704)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
Mr. CLINTON LEVI LONG
14603 EDENGLEN DR
HOUSTON, TX 77049-3810
Phone number: 281-745-0828
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Mailing Address
Mr. CLINTON LEVI LONG
14603 EDENGLEN DR
HOUSTON, TX 77049-3810
Phone number: 346-232-2419
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