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1518613959
TRAVIS RICHARD
OPELOUSAS, LA
NPI
1518613959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
172A00000X Driver
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
Mr. TRAVIS RICHARD
1907 HIGHWAY 749
OPELOUSAS, LA 70570-1261
Phone number: 337-945-6018
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Mailing Address
Mr. TRAVIS RICHARD
1907 HIGHWAY 749
OPELOUSAS, LA 70570-1261
Phone number:
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