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1336925502
BOBBY TIMOTHY CROCKETT
BATON ROUGE, LA
NPI
1336925502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
Mr. BOBBY TIMOTHY CROCKETT
6863 BLUEGRASS DRIVE
BATON ROUGE, LA 70811
Phone number: 225-485-6116
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Mailing Address
Mr. BOBBY TIMOTHY CROCKETT
6863 BLUEGRASS DRIVE
BATON ROUGE, LA 70811
Phone number: 225-485-6116
Copy
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