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EBONY PUGH
Driver
NPI: 1477270924Individual
Specialties, Licenses & Credentials
Home Modifications Contractor
Contractor — Home Modifications
Code: 171WH0202X
Vehicle Modifications Contractor
Contractor — Vehicle Modifications
Code: 171WV0202X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320600000X
DriverPrimary
Driver
Code: 172A00000X
Contact & Hours
- Address
- 16581 FREELAND ST
DETROIT, MI 48235 - Phone
- (313) 400-3531
Quick Facts
- NPI
- 1477270924
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
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