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Raul Antonio Mongue SR.
Driver in High Springs, Florida
NPI 1326782111

Raul Antonio Mongue SR. is a Driver based in High Springs, FL. Raul Antonio Mongue SR. practices in High Springs, FL. The NPI Number for Raul Antonio Mongue SR. is 1326782111 and holds a License No. M522-720-84-006-0 (Florida).

The current practice location address for Raul Antonio Mongue SR. is 19797 Nw 226Th Ter, High Springs, FL and can be reached out via phone at 352-215-9460.

Location: 19797 Nw 226Th Ter, High Springs, FL, 32643-0664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326782111
Provider Name
Raul Antonio Mongue SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
19797 Nw 226Th Ter, High Springs, FL, 32643-0664
Phone Number
352-215-9460
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19797 Nw 226Th Ter
City
High Springs
State
Florida
Zip
32643-0664
Phone Number
352-215-9460
Fax Number
person
Provider Business Mailing Address Details
Address
19797 Nw 226Th Ter
City
High Springs
State
Florida
Zip
32643-0664
Phone Number
352-215-9460
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
M522-720-84-006-0 (Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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