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1891485900
PAVEL PUSTOVOY
SACRAMENTO, CA
NPI
1891485900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: CA Y4856046)
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
PAVEL PUSTOVOY CEO
5753 AUBURN BLVD STE 23
SACRAMENTO, CA 95841-2953
Phone number: 916-790-0993
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Mailing Address
PAVEL PUSTOVOY CEO
7328 THALIA WAY
CITRUS HEIGHTS, CA 95621-5595
Phone number: 916-790-0993
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