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1003212242
JENNIFER SUE NETTLES
PADUCAH, KY
NPI
1003212242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: KY 4144)
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
-- JENNIFER SUE NETTLES R.D.H
916 KENTUCKY AVE
PADUCAH, KY 42003-1955
Phone number: 270-444-9625
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Mailing Address
-- JENNIFER SUE NETTLES R.D.H
916 KENTUCKY AVE
PADUCAH, KY 42003-1955
Phone number: 270-444-9625
Copy