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Organization
CITY OF GRAPELAND
Active
Organization
CITY OF GRAPELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHASTITY LORI ANN LEBLANC PARAMEDIC (EMS ASSISTANTT CHIEF)
(936) 687-2115
Entity
Organization
Contact information
Practice address
126 SOUTH OAK, GRAPELAND, TX 75844
(936) 687-2115
(936) 687-2799
Mailing address
PO BOX 567, GRAPELAND, TX 75844-0567
(936) 687-2115
(936) 687-2799
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
113002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0863888-01
—
TX
Enumeration date
09/13/2006
Last updated
07/21/2008
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