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1033845987
GAIGE TYCEAN KIMBELL
KNOXVILLE, TN
NPI
1033845987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TN 106S00000X)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
GAIGE TYCEAN KIMBELL
8233 FALLEN ROCK DR
KNOXVILLE, TN 37923-1215
Phone number: 318-548-1188
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Mailing Address
GAIGE TYCEAN KIMBELL
8233 FALLEN ROCK DR
KNOXVILLE, TN 37923-1215
Phone number: 318-548-1188
Copy
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