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Individual

DANILO URSOLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8807 THORNTON RD STE G, STOCKTON, CA 95209-1862
(209) 981-2112
(209) 227-5219
Mailing address
8807 THORNTON RD STE G, STOCKTON, CA 95209-1862
(209) 981-2112
(209) 227-5219

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
14-00115305
CA

Other

Enumeration date
10/22/2013
Last updated
02/27/2014
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