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Organization

JONAHS UPCOUNTRY COACH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH EDWARD CREASEY (OWNER/MANAGER)
(206) 735-5361
Entity
Organization

Contact information

Practice address
27065 STATE HIGHWAY 88 SPC 1, PIONEER, CA 95666-9471
(209) 256-9923
Mailing address
PO BOX 792, PIONEER, CA 95666-0792
(209) 256-9923

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary

Other

Enumeration date
01/18/2023
Last updated
01/18/2023
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