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1447969472
KANESHA PONJETTA THAGARD
HAYNEVILLE, AL
NPI
1447969472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-11-17
Last Update Date
2022-11-17
Business Address
Ms. KANESHA PONJETTA THAGARD
171 MASON ST
HAYNEVILLE, AL 36040-6408
Phone number: 334-301-0009
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Mailing Address
Ms. KANESHA PONJETTA THAGARD
171 MASON ST
HAYNEVILLE, AL 36040-6408
Phone number: 334-301-0009
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