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1083876502
PATRICKGRAPEVINE
MEMPHIS, TN
NPI
1083876502
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Entity Type
Organization
Authorized Contact
COLEMAN THOMPSON
President CEO
901-550-1011
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: TN 0000000475)
Enumeration Date
2008-06-26
Last Update Date
2008-06-26
Business Address
PATRICKGRAPEVINE
1833 SOUTH THIRD STREET
MEMPHIS, TN 38109
Phone number: 901-550-1011
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Mailing Address
PATRICKGRAPEVINE
1833 S 3RD ST
MEMPHIS, TN 38109-7717
Phone number:
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