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1578821195
CARLOS R MEJIA
HAZLETON, PA
NPI
1578821195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: PA 29880670)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- CARLOS R MEJIA
724 W 20TH ST
HAZLETON, PA 18201-1702
Phone number: 570-599-4008
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Mailing Address
-- CARLOS R MEJIA
724 W 20TH ST
HAZLETON, PA 18201-1702
Phone number: 570-599-4008
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