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Organization

FAB 5 TAXI LLC

Active
Other names
Fab 5 Taxi
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES LEE STEWART (OWNER/DRIVER)
(612) 298-5324
Entity
Organization

Contact information

Practice address
712 40TH AVE N, AVE NORTH, MINNEAPOLIS, MN 55412-1706
(612) 298-5324
Mailing address
712 40TH AVE N, AVE NORTH, MINNEAPOLIS, MN 55412-1706
(612) 298-5324

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M333176220109
MN

Other

Enumeration date
09/03/2016
Last updated
09/03/2016
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