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1407390545
KATHLEEN WATERS
KINGSPORT, TN
NPI
1407390545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 1256)
Enumeration Date
2016-12-08
Last Update Date
2016-12-08
Business Address
KATHLEEN WATERS
1006 ALLANDALE CIR
KINGSPORT, TN 37660-9002
Phone number: 423-292-1299
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Mailing Address
KATHLEEN WATERS
1006 ALLANDALE CIR
KINGSPORT, TN 37660-9002
Phone number: 423-292-1299
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