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1013154426
KATHLEEN MARIE MCCULLOUGH
FORT CAMPBELL, KY
NPI
1013154426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 0000027229)
Enumeration Date
2009-01-08
Last Update Date
2009-01-08
Business Address
MS. KATHLEEN MARIE MCCULLOUGH
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8521
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Mailing Address
MS. KATHLEEN MARIE MCCULLOUGH
650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Phone number: 270-798-8521
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