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1568136737
GREGORY L FLACK
BRYANT, WI
NPI
1568136737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
GREGORY L FLACK
W9491 COUNTY ROAD B
BRYANT, WI 54418-9786
Phone number: 715-610-0836
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Mailing Address
GREGORY L FLACK
W9491 COUNTY ROAD B
BRYANT, WI 54418-9786
Phone number: 715-610-0836
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