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1902579170
MODOU L KOLLEY
CHARLOTTE, NC
NPI
1902579170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
Mr. MODOU L KOLLEY
7704 CEDAR CREEK LN APT 103
CHARLOTTE, NC 28210-8156
Phone number: 704-421-6547
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Mailing Address
Mr. MODOU L KOLLEY
7704 CEDAR CREEK LN APT 103
CHARLOTTE, NC 28210-8156
Phone number: 704-421-6547
Copy
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