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1073221370
JAYANNA KAYLEE QUALLS
HOHENWALD, TN
NPI
1073221370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN00000097016)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
JAYANNA KAYLEE QUALLS
51 SMITH AVE
HOHENWALD, TN 38462-1124
Phone number: 931-796-2204
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Mailing Address
JAYANNA KAYLEE QUALLS
51 SMITH AVE
HOHENWALD, TN 38462-1124
Phone number: 931-796-2204
Copy
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