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1043924038
LATOYA FENE ELLISON
JACKSON, TN
NPI
1043924038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2023-01-13
Last Update Date
2023-01-13
Business Address
LATOYA FENE ELLISON
26 BENT TREE CV
JACKSON, TN 38305-8935
Phone number: 731-267-0669
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Mailing Address
LATOYA FENE ELLISON
161 W UNIVERSITY PKWY # 10861
JACKSON, TN 38305-1857
Phone number: 731-265-6787
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