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Individual

MR. RICHARD FOX EMMONS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EMT

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E073900
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
965
PASADENA FIRE DEPT.
CA
01
E073900
EMSA
CA
Enumeration date
06/27/2020
Last updated
06/27/2020
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