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Robert W Mingus, DRIVER
Private Vehicle in Clearwater, Idaho
NPI 1427763499

Robert W Mingus is a Private Vehicle based in Clearwater, ID. Robert W Mingus practices in Clearwater, ID and has the professional credentials of DRIVER. The NPI Number for Robert W Mingus is 1427763499 and holds a License No. WA122376H (Idaho).

The current practice location address for Robert W Mingus is 126 Shira Rd, Clearwater, ID and can be reached out via phone at 208-926-0894.

Location: 126 Shira Rd, Clearwater, ID, 83552-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427763499
Provider Name
Robert W Mingus
Credential
DRIVER
Provider Entity Type
Individual
Gender
Male
Address
126 Shira Rd, Clearwater, ID, 83552-5044
Phone Number
208-926-0894
Fax Number
Provider Enumeration Date
01/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 Shira Rd
City
Clearwater
State
Idaho
Zip
83552-5044
Phone Number
208-926-0894
Fax Number
person
Provider Business Mailing Address Details
Address
126 Shira Rd
City
Clearwater
State
Idaho
Zip
83552-5044
Phone Number
208-926-0894
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
WA122376H (Idaho)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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