KELLEY EVANS

FOREST, MS
NPI1588903066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: MS  801255243)
Enumeration Date2013-02-04
Last Update Date2013-02-04
Business Address
-- KELLEY EVANS
6634 HIGHWAY 35 N
FOREST, MS 39074-9674
Phone number: 601-813-3638
Mailing Address
-- KELLEY EVANS
6634 HIGHWAY 35 N
FOREST, MS 39074-9674
Phone number: 601-813-3638
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