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Individual

MARILYN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TRANSPORTATION

Contact information

Practice address
7315 ROURKE CV, MEMPHIS, TN 38125-4827
(901) 309-8627
(901) 309-7712
Mailing address
7315 ROURKE CV, MEMPHIS, TN 38125-4827
(901) 309-8627
(901) 309-7712

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
065978717
TN
172A00000X
Driver
065978717
TN

Other

Enumeration date
10/31/2016
Last updated
10/31/2016
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