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1710703442
BENNY TATE FOSTER
BRICEVILLE, TN
NPI
1710703442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171WH0202X Contractor, Home Modifications
(Licence: TN 0145794)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
BENNY TATE FOSTER
611 AIRBASE LN
BRICEVILLE, TN 37710-2023
Phone number: 865-748-8715
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Mailing Address
BENNY TATE FOSTER
611 AIRBASE LN
BRICEVILLE, TN 37710-2023
Phone number: 865-748-8715
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