PHILLIP EUGENE WOLLAM

CANTON, OH
NPI1912626946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: OH  7611238)
Enumeration Date2022-08-23
Last Update Date2022-08-23
Business Address
PHILLIP EUGENE WOLLAM
1401 27TH ST NE
CANTON, OH 44714-1714
Phone number: 330-575-7424
Mailing Address
PHILLIP EUGENE WOLLAM
1401 27TH ST NE
CANTON, OH 44714-1714
Phone number: 330-575-7424
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