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1003271073
SHAMEEKA KELLY
JACKSON, TN
NPI
1003271073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 83001)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
-- SHAMEEKA KELLY
124 CHESTER LEVEE RD
JACKSON, TN 38301-7562
Phone number: 731-343-8684
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Mailing Address
-- SHAMEEKA KELLY
124 CHESTER LEVEE RD
JACKSON, TN 38301-7562
Phone number: 731-343-8684
Copy
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