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1508281544
CHARLES MOONEY
LAWRENCE, KS
NPI
1508281544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: KS 467)
Enumeration Date
2014-02-27
Last Update Date
2014-02-27
Business Address
-- CHARLES MOONEY
2513 LAZY BROOK LN
LAWRENCE, KS 66047-2446
Phone number: 785-691-8645
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Mailing Address
-- CHARLES MOONEY
2513 LAZY BROOK LN
LAWRENCE, KS 66047-2446
Phone number: 785-691-8645
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