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1336929488
BOL GACH PAN
PEORIA, AZ
NPI
1336929488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: AZ d06464178)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
BOL GACH PAN
9250 N 75TH AVE LOT 48
PEORIA, AZ 85345-6634
Phone number: 602-481-0911
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Mailing Address
BOL GACH PAN
8050 N 19TH AVE # 101
PHOENIX, AZ 85021-5101
Phone number: 602-481-0911
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