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Organization
GENTEELE CORPORATION
Active
Organization
GENTEELE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEONARD PERRY JR. (OWNER)
(310) 692-3475
Entity
Organization
Contact information
Practice address
921 MOUNT OLIVE DR APT 1, DUARTE, CA 91010-2173
(310) 692-3475
Mailing address
921 MOUNT OLIVE DR APT 1, DUARTE, CA 91010-2173
(310) 692-3475
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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