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1396097507
BENNIE LEE STUCKEY
BENNETTSVILLE, SC
NPI
1396097507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: SC 007888897)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
Mr. BENNIE LEE STUCKEY
54 HUDSON ST
BENNETTSVILLE, SC 29512-3930
Phone number: 910-384-5885
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Mailing Address
Mr. BENNIE LEE STUCKEY
54 HUDSON ST
BENNETTSVILLE, SC 29512-3930
Phone number: 910-384-5885
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