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1093366569
LISA ISOM
MEMPHIS, TN
NPI
1093366569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2019-09-25
Last Update Date
2019-10-04
Business Address
LISA ISOM
485 HAZELWOOD RD
MEMPHIS, TN 38109-3259
Phone number: 901-864-0283
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Mailing Address
LISA ISOM
485 HAZELWOOD RD
MEMPHIS, TN 38109-3259
Phone number: 901-864-0283
Copy
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