TANNER C KIMBLE

VICKSBURG, MS
NPI1043988116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence:   188016)
Enumeration Date2021-09-02
Last Update Date2022-02-15
Business Address
TANNER C KIMBLE CST/CSFA
2100 HIGHWAY 61 N
VICKSBURG, MS 39183-8211
Phone number: 601-883-5000
Mailing Address
TANNER C KIMBLE CST/CSFA
406 LACASA LOOP
TWIN FALLS, ID 83301-5663
Phone number: 208-410-0569
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