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An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Vehicle Modifications |
171WV0202X |
| NPI Number | 1033878913 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 12/08/2021 |
| Last updated | 02/22/2022 - About 4 years ago |
| Identifiers | n/a |
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LAWRENCE GILL JR
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LAWRENCE GILL JR