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Organization

BLUE ANGELS EMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD WEISS (OWNER)
(618) 532-7777
Entity
Organization

Contact information

Practice address
402 N POPLAR ST, CENTRALIA, IL 62801-2965
(618) 532-7777
(618) 532-7722
Mailing address
402 N POPLAR ST, CENTRALIA, IL 62801-2965
(877) 446-5093
(816) 841-4689

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
9999
IL

Other

Enumeration date
09/23/2010
Last updated
06/30/2011
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