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1275848996
WILLIE L JEFFERSON
WHITE SPRINGS, FL
NPI
1275848996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2010-08-18
Last Update Date
2010-08-18
Business Address
-- WILLIE L JEFFERSON
19351 JEFFERSON RD
WHITE SPRINGS, FL 32096
Phone number: 386-397-1879
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Mailing Address
-- WILLIE L JEFFERSON
PO BOX 395
WHITE SPRINGS, FL 32096
Phone number: 386-397-1879
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