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1174891147
MARLON DAVID SMITH
BELLEVILLE, MI
NPI
1174891147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: MI D6708J)
Enumeration Date
2011-12-06
Last Update Date
2011-12-06
Business Address
-- MARLON DAVID SMITH
51125 LANDMARK
BELLEVILLE, MI 48111-4461
Phone number: 734-879-0849
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Mailing Address
-- MARLON DAVID SMITH
51125 LANDMARK
BELLEVILLE, MI 48111-4461
Phone number: 734-879-0849
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