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1295422319
MICHAEL BRINSON
WATERLOO, IL
NPI
1295422319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
Mr. MICHAEL BRINSON RN
4830 RED OAK DR
WATERLOO, IL 62298-3068
Phone number: 618-202-8611
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Mailing Address
Mr. MICHAEL BRINSON RN
4830 RED OAK DR
WATERLOO, IL 62298-3068
Phone number: 618-202-8611
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