OMAR EDMOND

SUFFOLK, VA
NPI1780105809
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
(Licence: VA  A69694616)
Enumeration Date2017-06-28
Last Update Date2017-06-28
Business Address
OMAR EDMOND
118 FAYETTE ST
SUFFOLK, VA 23434-5458
Phone number: 757-477-4847
Mailing Address
OMAR EDMOND
118 FAYETTE ST
SUFFOLK, VA 23434-5458
Phone number:
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