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Organization

SCOOTER MART INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEN WAYNE SONGER LUTCF (OWNER)
(254) 629-2416
Entity
Organization

Contact information

Practice address
208 S LAMAR, EASTLAND, TX 76448
(254) 629-2416
(254) 629-0998
Mailing address
208 S LAMAR, EASTLAND, TX 76448
(254) 629-2416
(254) 629-0998

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
TX

Other

Enumeration date
06/08/2006
Last updated
07/21/2022
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