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1235447210
MARLON FAULKNER
CHICAGO, IL
NPI
1235447210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: IL 10138PT)
Enumeration Date
2010-09-23
Last Update Date
2010-09-23
Business Address
MR. MARLON FAULKNER
6058 W FULLERTON AVE
CHICAGO, IL 60639-2243
Phone number: 773-828-6045
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Mailing Address
MR. MARLON FAULKNER
6058 W FULLERTON AVE
CHICAGO, IL 60639-2243
Phone number: 773-828-6045
Copy
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