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1760832737
GREGORY LIGHTFOOT
HAMPTON, GA
NPI
1760832737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- GREGORY LIGHTFOOT
747 TARA BND
HAMPTON, GA 30228-6308
Phone number: 678-334-5029
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Mailing Address
-- GREGORY LIGHTFOOT
747 TARA BND
HAMPTON, GA 30228-6308
Phone number: 678-334-5029
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