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Gus Antoine SR.
Driver in Clarksville, Tennessee
NPI 1376296582

Gus Antoine SR. is a Driver based in Clarksville, TN. Gus Antoine SR. practices in Clarksville, TN. The NPI Number for Gus Antoine SR. is 1376296582 and holds a License No. 7094741 (Tennessee).

The current practice location address for Gus Antoine SR. is 2033 Ft Campbell Blvd, Clarksville, TN and can be reached out via phone at 833-687-8333.

Location: 2033 Ft Campbell Blvd, Clarksville, TN, 37042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376296582
Provider Name
Gus Antoine SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2033 Ft Campbell Blvd, Clarksville, TN, 37042
Phone Number
833-687-8333
Fax Number
Provider Enumeration Date
01/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2033 Ft Campbell Blvd
City
Clarksville
State
Tennessee
Zip
37042
Phone Number
833-687-8333
Fax Number
person
Provider Business Mailing Address Details
Address
2033 Ft Campbell Blvd
City
Clarksville
State
Tennessee
Zip
37042
Phone Number
833-687-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
7094741 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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