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1790437390
SOCCORRI LAKES
MEMPHIS, TN
NPI
1790437390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
(Licence: TN 1000000029606)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
SOCCORRI LAKES
6044 LITTLE BROOK CIR N APT 105
MEMPHIS, TN 38115-8307
Phone number: 901-212-9223
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Mailing Address
SOCCORRI LAKES
6044 LITTLE BROOK CIR N APT 105
MEMPHIS, TN 38115-8307
Phone number: 901-212-9223
Copy
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