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JACOB EDIBA

Non-emergency Medical Transport (VAN)

NPI: 1871950782Individual

Specialties, Licenses & Credentials

Non-emergency Medical Transport (VAN)

Code: 343900000X

MCS-10-0005-0464R1(IL)

Contact & Hours

Address
273 KEYSTONE DR APT 5
RANTOUL, IL 61866

Quick Facts

NPI
1871950782
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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