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Organization

EAGLE MEDICAL TRANSPORTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAUN ALLEN SORENSEN EMT-I (MEMBER, MANAGER)
(804) 824-8019
Entity
Organization

Contact information

Practice address
570 INDUSTRIAL PARK DR, NEWPORT NEWS, VA 23608-8636
(804) 824-8019
Mailing address
570 INDUSTRIAL PARK DR, NEWPORT NEWS, VA 23608-8636
(804) 824-8019

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1277
VA

Other

Enumeration date
02/01/2008
Last updated
10/20/2008
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