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Individual

LUIS G REIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
112 E STATE ST, MOROCCO, IN 47963-7500
(219) 669-1206
Mailing address
PO BOX 501, MOROCCO, IN 47963-0501
(219) 669-1206

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1420-47-0980
IN

Other

Enumeration date
02/17/2021
Last updated
02/17/2021
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