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Mr. Keith Matthew Bubb
Driver in Sandstone, Minnesota
NPI 1487418570

Keith Matthew Bubb is a Driver based in Sandstone, MN. Keith Matthew Bubb practices in Sandstone, MN. The NPI Number for Keith Matthew Bubb is 1487418570 and holds a License No. N564173836715 (Minnesota).

The current practice location address for Keith Matthew Bubb is 606 Highway 123 W, Sandstone, MN and can be reached out via phone at 320-204-5535 and via fax at 320-216-7638.

Location: 606 Highway 123 W, Sandstone, MN, 55072-0026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487418570
Provider Name
Keith Matthew Bubb
Credential
Provider Entity Type
Individual
Gender
Male
Address
606 Highway 123 W, Sandstone, MN, 55072-0026
Phone Number
320-204-5535
Fax Number
320-216-7638
Provider Enumeration Date
02/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-204-5535
Fax Number
320-216-7638
person
Provider Business Mailing Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-204-5535
Fax Number
320-216-7638
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
N564173836715 (Minnesota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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