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1144758574
BRENNAN KANE HUMPHREYS
KINGSPORT, TN
NPI
1144758574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TN 10533)
Enumeration Date
2017-05-30
Last Update Date
2022-07-21
Business Address
BRENNAN KANE HUMPHREYS
613 WATAUGA ST
KINGSPORT, TN 37660-4429
Phone number: 423-707-2999
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Mailing Address
BRENNAN KANE HUMPHREYS
613 WATAUGA ST
KINGSPORT, TN 37660-4429
Phone number: 423-707-2999
Copy
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