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1396006763
OPHELIA RENEE WATERS
MILLINGTON, TN
NPI
1396006763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-06-01
Last Update Date
2012-06-01
Business Address
MRS. OPHELIA RENEE WATERS CMA
6568 EMMITT ST
MILLINGTON, TN 38053-8267
Phone number: 901-873-3081
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Mailing Address
MRS. OPHELIA RENEE WATERS CMA
6568 EMMITT ST
MILLINGTON, TN 38053-8267
Phone number: 901-873-3081
Copy
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