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1588114177
EZEKIEL GUY JOHNSON
KLAMATH FALLS, OR
NPI
1588114177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
347E00000X Transportation Broker
Enumeration Date
2016-10-07
Last Update Date
2016-10-07
Business Address
EZEKIEL GUY JOHNSON
5049 REGENCY DR
KLAMATH FALLS, OR 97603-9033
Phone number: 541-539-8843
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Mailing Address
EZEKIEL GUY JOHNSON
5049 REGENCY DR
KLAMATH FALLS, OR 97603-9033
Phone number: 541-539-8843
Copy
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