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1780399519
MICHAEL GAVIN THOMAS
NAMPA, ID
NPI
1780399519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: ID YB320561E)
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
Mr. MICHAEL GAVIN THOMAS
520 W PALMER DR
NAMPA, ID 83686-8390
Phone number: 208-484-7943
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Mailing Address
Mr. MICHAEL GAVIN THOMAS
520 W PALMER DR
NAMPA, ID 83686-8390
Phone number: 208-484-7943
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