Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1619282035 |
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| LBN Legal business name | GANTT AREA VOLUNTEER RESCUE SQUAD | ||||
| Authorized official | GLENN BOUTWELL - (CO-CAPTAIN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/10/2010 | ||||
| Last updated | 08/10/2010 - About 16 years ago | ||||
| Identifiers |
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