KELLY JANE DEVAULT

BLAINE, TN
NPI1093574196
Former NameKELLY SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2024-03-19
Last Update Date2024-03-19
Business Address
KELLY JANE DEVAULT AS
880 RUTLEDGE PIKE
BLAINE, TN 37709-2317
Phone number: 865-933-4110
Mailing Address
KELLY JANE DEVAULT AS
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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