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Organization

KOLE TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILIAN D KABA STS PROVIDER (SOLE PROPRIETOR/DRIVER)
(952) 686-4685
Entity
Organization

Contact information

Practice address
3016 80TH AVE N, BROOKLYN PARK, MN 55444-1836
(612) 518-2835
Mailing address
3016 80TH AVE N, BROOKLYN PARK, MN 55444-1836
(612) 518-2835

Taxonomy

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

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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