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1487985602
PHYLLIS S. JOHNS
MOUNT JULIET, TN
NPI
1487985602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: KY KY-A3861)
Enumeration Date
2010-01-28
Last Update Date
2010-01-28
Business Address
Ms. PHYLLIS S. JOHNS COTA/L
5495 ESCALADE DR
MOUNT JULIET, TN 37122-8446
Phone number: 615-479-9506
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Mailing Address
Ms. PHYLLIS S. JOHNS COTA/L
5495 ESCALADE DR
MOUNT JULIET, TN 37122-8446
Phone number: 615-479-9506
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