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1730860669
JUSTIN COLE RICHARD
MAUMELLE, AR
NPI
1730860669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-07-25
Last Update Date
2023-07-25
Business Address
JUSTIN COLE RICHARD
77 STONELEDGE DR
MAUMELLE, AR 72113-6021
Phone number: 501-837-8295
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Mailing Address
JUSTIN COLE RICHARD
77 STONELEDGE DR
MAUMELLE, AR 72113-6021
Phone number: 501-837-8295
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