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1659053619
SAMUAEL B TAKELE
ANTIOCH, TN
NPI
1659053619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: TN 121945606)
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
SAMUAEL B TAKELE
7017 RED APPLE RD
ANTIOCH, TN 37013-4895
Phone number: 615-481-2482
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Mailing Address
SAMUAEL B TAKELE
7017 RED APPLE RD
ANTIOCH, TN 37013-4895
Phone number:
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