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1194360396
YAMIKA SHANTELL WILSON
MEMPHIS, TN
NPI
1194360396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: TN 180004860)
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
YAMIKA SHANTELL WILSON
3421 SELLERS ST
MEMPHIS, TN 38127-5230
Phone number: 901-652-6102
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Mailing Address
YAMIKA SHANTELL WILSON
3421 SELLERS ST
MEMPHIS, TN 38127-5230
Phone number: 901-652-6102
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