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1811605686
BRANDON JOHNNY BATISTA
RALEIGH, NC
NPI
1811605686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
BRANDON JOHNNY BATISTA
4630 TOURNAMENT DR APT 204
RALEIGH, NC 27612-7034
Phone number: 201-668-1923
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Mailing Address
BRANDON JOHNNY BATISTA
4630 TOURNAMENT DR APT 204
RALEIGH, NC 27612-7034
Phone number:
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