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1598204729
MIA SCULLARK
CORDOVA, TN
NPI
1598204729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
-- MIA SCULLARK
8809 FOREST BREEZE DR
CORDOVA, TN 38018-7692
Phone number: 901-691-6274
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Mailing Address
-- MIA SCULLARK
8809 FOREST BREEZE DR
CORDOVA, TN 38018-7692
Phone number: 901-691-6274
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