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1245830942
JIM ROBERT LYSNE
MARION, IA
NPI
1245830942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
JIM ROBERT LYSNE
3032 14TH AVE
MARION, IA 52302-1524
Phone number: 319-693-1090
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Mailing Address
JIM ROBERT LYSNE
PO BOX 831
MARION, IA 52302-0831
Phone number: 319-693-1090
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