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1104012863
KISHA A BARCLAY
CHATTANOOGA, TN
NPI
1104012863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 65139)
Enumeration Date
2007-09-17
Last Update Date
2007-09-17
Business Address
-- KISHA A BARCLAY L.P.N.
413 SPRING ST
CHATTANOOGA, TN 37405-3848
Phone number: 423-756-2740
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Mailing Address
-- KISHA A BARCLAY L.P.N.
263 MEADOW GREEN LN APT A
GORDONSVILLE, TN 38563-6594
Phone number:
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