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Organization

PURE CROWN COUTURE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KENYA S CAMPBELL (OWNER)
(213) 500-0938
Entity
Organization

Contact information

Practice address
2730 PEACHTREE INDUSTRIAL BLVD STE 105, DULUTH, GA 30097-8627
(213) 500-0938
Mailing address
2730 PEACHTREE INDUSTRIAL BLVD, SUITE 105, DULUTH, GA 30097-8626
(213) 500-0938

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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