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1306303821
ALVIN DWAYNE JERNIGAN
LAKE CITY, FL
NPI
1306303821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-02-21
Last Update Date
2019-02-21
Business Address
ALVIN DWAYNE JERNIGAN
386 NE VOSS RD
LAKE CITY, FL 32055-1486
Phone number: 386-292-3154
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Mailing Address
ALVIN DWAYNE JERNIGAN
386 NE VOSS RD
LAKE CITY, FL 32055-1486
Phone number: 386-292-3154
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