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1417165564
KIMBERLY L HANNAH
CLARKSVILLE, TN
NPI
1417165564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN 4606)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
KIMBERLY L HANNAH
330 PAGEANT LN
CLARKSVILLE, TN 37040-3854
Phone number: 931-648-5747
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Mailing Address
KIMBERLY L HANNAH
1210 BITER RD PO BOX 32
CUNNINGHAM, TN 37052-4717
Phone number: 931-624-2916
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