Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1922216548 |
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| LBN Legal business name | PARRIS SHOE WORLD INC | ||||
| Authorized official | RAYMOND PARRIS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/18/2007 | ||||
| Last updated | 06/04/2008 - About 18 years ago | ||||
| Identifiers |
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