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1528739075
THERESA D DANIELS
DOTHAN, AL
NPI
1528739075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: AL 9781510)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
THERESA D DANIELS
105 YAUPON CT
DOTHAN, AL 36301-7274
Phone number: 850-693-0411
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Mailing Address
THERESA D DANIELS
105 YAUPON CT
DOTHAN, AL 36301-7274
Phone number: 850-693-0411
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