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1366194102
KIM MATHERNE
THIBODAUX, LA
NPI
1366194102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: LA RN080158)
Enumeration Date
2022-01-24
Last Update Date
2022-02-23
Business Address
KIM MATHERNE RN
110 BOWIE RD
THIBODAUX, LA 70301-6703
Phone number: 985-447-8181
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Mailing Address
KIM MATHERNE RN
PO BOX 471
THIBODAUX, LA 70302-0471
Phone number: 985-447-8181
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