SHANE WILSON

LITTLE ROCK, AR
NPI1669952966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2018-08-16
Last Update Date2018-08-16
Business Address
Mr. SHANE WILSON
1522 S TYLER ST
LITTLE ROCK, AR 72204
Phone number: 501-515-0828
Mailing Address
Mr. SHANE WILSON
1522 S TYLER ST
LITTLE ROCK, AR 72204-2784
Phone number: 501-352-9825
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