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1730637802
MALCOLM DARRYL WHITE
PORTSMOUTH, VA
NPI
1730637802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2016-09-16
Last Update Date
2016-09-16
Business Address
Mr. MALCOLM DARRYL WHITE
3603 KINGMAN AVE
PORTSMOUTH, VA 23707-4512
Phone number: 757-547-6629
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Mailing Address
Mr. MALCOLM DARRYL WHITE
3603 KINGMAN AVE
PORTSMOUTH, VA 23707-4512
Phone number: 757-547-6629
Copy
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