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1750835518
JONATHAN BROADNAX
WASHINGTON, DC
NPI
1750835518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
JONATHAN BROADNAX
4702 6TH PL NE
WASHINGTON, DC 20017-2319
Phone number: 202-365-3997
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Mailing Address
JONATHAN BROADNAX
4702 6TH PL NE
WASHINGTON, DC 20017-2319
Phone number: 202-365-3997
Copy
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