JAKE CHARLIE

TUBA CITY, AZ
NPI1851691638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
(Licence: AZ  CNA999953632)
Enumeration Date2010-10-27
Last Update Date2010-10-27
Business Address
-- JAKE CHARLIE
167 N. MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
-- JAKE CHARLIE
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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