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1619309226
EVERETT SERVICE PROVIDER
PORTSMOUTH, VA
NPI
1619309226
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Entity Type
Organization
Authorized Contact
SUSAN E. VICK
President
757-235-0463
Organization Subpart ?
No
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
EVERETT SERVICE PROVIDER
2503 WOODROW ST
PORTSMOUTH, VA 23707-2124
Phone number: 757-793-0146
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Mailing Address
EVERETT SERVICE PROVIDER
2503 WOODROW ST
PORTSMOUTH, VA 23707-2124
Phone number: 757-793-0146
Copy
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