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1003319161
KEVIN BERNARD GREEN
CORDOVA, TN
NPI
1003319161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: TN 065153548)
Enumeration Date
2018-03-15
Last Update Date
2018-03-15
Business Address
KEVIN BERNARD GREEN
10217 WOODLAND HILLS DR
CORDOVA, TN 38018-6663
Phone number: 901-736-7089
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Mailing Address
KEVIN BERNARD GREEN
10217 WOODLAND HILLS DR
CORDOVA, TN 38018-6663
Phone number: 901-736-7089
Copy
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TRANS 2020