DARNELL ANTONIO PEGRAM

COLUMBUS, OH
NPI1992539308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2024-08-28
Last Update Date2024-08-28
Business Address
Mr. DARNELL ANTONIO PEGRAM
2211 LAKE CLUB DR
COLUMBUS, OH 43232-3204
Phone number: 614-318-9788
Mailing Address
Mr. DARNELL ANTONIO PEGRAM
1114 GOLDENEYE DR
BLACKLICK, OH 43004-7001
Phone number: 614-318-9788