MR. Reginald Styles Bazemore II

NPI #1467887125 in Windsor, North Carolina

Provider Information

NPI Number: 1467887125
Entity Type: Individual
Name: MR. Reginald Styles Bazemore II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Sep 12, 2013
Last Updated: Sep 27, 2013

Practice Location

Address: 1506 GOVERNORS RD
City: Windsor
State: North Carolina
ZIP Code: 27983-9763
Phone: (919) 805-9379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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