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1043842792
KIMBERLY LANE
COOKEVILLE, TN
NPI
1043842792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TN 7002)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
KIMBERLY LANE
419 E BROAD ST
COOKEVILLE, TN 38501-3339
Phone number: 931-854-5056
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Mailing Address
KIMBERLY LANE
419 E BROAD ST
COOKEVILLE, TN 38501-3339
Phone number:
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