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1154022010
JERRY VANG
FRESNO, CA
NPI
1154022010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: CA B049162)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
JERRY VANG
4879 E ATCHISON AVE
FRESNO, CA 93725-1201
Phone number: 559-570-4948
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Mailing Address
JERRY VANG
4879 E ATCHISON AVE
FRESNO, CA 93725-1201
Phone number: 559-570-4948
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