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1730408014
MINOR REQUEST
JACKSON, TN
NPI
1730408014
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Entity Type
Organization
Authorized Contact
JENISE MINOR
Owner
731-803-8850
Organization Subpart ?
No
Primary Taxonomy
347C00000X Private Vehicle
(Licence: TN 347C00000X)
Enumeration Date
2010-05-25
Last Update Date
2010-05-25
Business Address
MINOR REQUEST
10 NETHERWOOD DR
JACKSON, TN 38305-9441
Phone number: 731-803-8850
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Mailing Address
MINOR REQUEST
10 NETHERWOOD DR
JACKSON, TN 38305-9441
Phone number: 731-803-8850
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