Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1104871441 |
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| LBN Legal business name | TOWN OF PRESQUE ISLE | ||||||||||||||||
| Authorized official | DONNA JUKICH - (COORDINATOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/24/2006 | ||||||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||||||
| Identifiers |
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