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Individual

KARL BRUCE EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
771 S EAST AVE APT 777771S, VINELAND, NJ 08360-5958
(856) 839-5423
(856) 691-0708
Mailing address
771 S EAST AVE APT 777, VINELAND, NJ 08360-5958
(856) 839-5423
(856) 691-0708

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
0450656388
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0450656388
NJ
Enumeration date
06/07/2021
Last updated
06/07/2021
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