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1679331565
MAURICE CLARENCE GREEN
CONCORD, NC
NPI
1679331565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
Mr. MAURICE CLARENCE GREEN
5906 BAREFOOT LN
CONCORD, NC 28025-9109
Phone number: 202-200-2279
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Mailing Address
Mr. MAURICE CLARENCE GREEN
5906 BAREFOOT LN
CONCORD, NC 28025-9109
Phone number: 202-200-2279
Copy
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