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1215543251
KENYATTA PUGH
CORDOVA, TN
NPI
1215543251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: TN 170003871)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
KENYATTA PUGH
1176 VICKERY LN STE 200
CORDOVA, TN 38016-0631
Phone number: 901-255-4490
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Mailing Address
KENYATTA PUGH
1176 VICKERY LN STE 200
CORDOVA, TN 38016-0631
Phone number: 901-255-4490
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