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Organization
CITY OF BOVINA
Active
Organization
CITY OF BOVINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY G MITCHELL LICENSED PARAMEDIC (DIRECTOR)
(806) 251-1167
Entity
Organization
Contact information
Practice address
205 NORTH STREET, BOVINA, TX 79009-0720
(806) 251-1116
(806) 251-1805
Mailing address
P.O. BOX 720, BOVINA, TX 79009-0720
(806) 251-1116
(806) 251-1805
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000086101
—
TX
Enumeration date
03/10/2006
Last updated
11/15/2010
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