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Organization

DEXMAR TRANSPORTATION SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY DEXTER RUSSOM (OWNER)
(336) 298-4225
Entity
Organization

Contact information

Practice address
9235 US HIGHWAY 158, STOKESDALE, NC 27357-9258
(336) 298-4225
(336) 298-4225
Mailing address
9235 US HIGHWAY 158, STOKESDALE, NC 27357-9258
(336) 298-4225
(336) 298-4225

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
EEV7605
NC

Other

Enumeration date
09/12/2016
Last updated
09/21/2016
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