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1053757005
KIMBERLI BOOTH
BENTON, TN
NPI
1053757005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TN 0000009963)
Enumeration Date
2013-05-17
Last Update Date
2013-05-17
Business Address
-- KIMBERLI BOOTH MT
217 WARD ST
BENTON, TN 37307-3054
Phone number: 423-338-8088
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Mailing Address
-- KIMBERLI BOOTH MT
PO BOX 767
BENTON, TN 37307-0767
Phone number: 423-338-8088
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