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1083360515
TANYA NICOLE ROARK-HICKMAN
BLAINE, TN
NPI
1083360515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
TANYA NICOLE ROARK-HICKMAN CCMA
880 RUTLEDGE PIKE
BLAINE, TN 37709-2317
Phone number: 865-933-4110
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Mailing Address
TANYA NICOLE ROARK-HICKMAN CCMA
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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