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1316076623
KIMBERLY MARLENE DEW
TENNESSEE RIDGE, TN
NPI
1316076623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: TN LPN0000067132)
Enumeration Date
2007-03-04
Last Update Date
2007-07-08
Business Address
-- KIMBERLY MARLENE DEW HS,LPN
1330 N MAIN ST
TENNESSEE RIDGE, TN 37178-4003
Phone number: 931-721-3312
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Mailing Address
-- KIMBERLY MARLENE DEW HS,LPN
1330 N MAIN ST
TENNESSEE RIDGE, TN 37178-4003
Phone number:
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