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1356889000
ANNIE GRANTHAM
TALBOTT, TN
NPI
1356889000
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Former Name
ANNIE NICHOLE KIMBROUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN RN207264)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
ANNIE GRANTHAM R.N.
6350 W ANDREW JOHNSON HWY
TALBOTT, TN 37877-8605
Phone number: 423-587-7337
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Mailing Address
ANNIE GRANTHAM R.N.
6350 W ANDREW JOHNSON HWY DEPARTMENT 100
TALBOTT, TN 37877-8605
Phone number: 800-355-3565
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