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Organization

KTJJ GROUP LLC

Active
Other names
GRANDSPACE MEDICAL TRANSPORTATION
Organization subpart
No

Provider details

NPI number
Authorized official
TEMITOPE OLOJEDE (PRESIDENT)
(469) 386-1506
Entity
Organization

Contact information

Practice address
11969 PLANO RD STE 150, DALLAS, TX 75243-5487
(469) 386-1506
Mailing address
1624 RANCH HOUSE RD, CELINA, TX 75009-6654
(469) 386-1506

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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