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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

Quick Facts

NPI
1477270924
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
4
Locations
1

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