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1497247407
MAURICE TREVELLE LATHAM
VIRGINIA BEACH, VA
NPI
1497247407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: VA T62676783)
Enumeration Date
2018-06-05
Last Update Date
2019-01-08
Business Address
MAURICE TREVELLE LATHAM
928 SUMMERSIDE CT
VIRGINIA BEACH, VA 23456-6373
Phone number: 757-927-2325
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Mailing Address
MAURICE TREVELLE LATHAM
928 SUMMERSIDE CT
VIRGINIA BEACH, VA 23456-6373
Phone number: 757-927-2325
Copy
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