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1982207684
MIRAKA BASS
PORTSMOUTH, VA
NPI
1982207684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
MIRAKA BASS
4051 CEDAR LN STE B
PORTSMOUTH, VA 23703-2003
Phone number: 757-975-3906
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Mailing Address
MIRAKA BASS
4051 CEDAR LN STE B
PORTSMOUTH, VA 23703-2003
Phone number: 757-975-3906
Copy
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