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1154881191
DAMITA CROCKETT
MEMPHIS, TN
NPI
1154881191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
DAMITA CROCKETT
1768 KELTNER CIR APT 4
MEMPHIS, TN 38114-4664
Phone number: 901-596-9911
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Mailing Address
DAMITA CROCKETT
1768 KELTNER CIR APT 4
MEMPHIS, TN 38114-4664
Phone number: 901-596-9911
Copy
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