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1508093550
KATHY SUE MATHIS
FORT CAMPBELL, KY
NPI
1508093550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: TN RN0000078901)
Enumeration Date
2009-06-17
Last Update Date
2009-06-17
Business Address
-- KATHY SUE MATHIS RN
650 JOEL DR BACH SPECIALTY CLINIC
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
-- KATHY SUE MATHIS RN
139 WEYMOUTH CT
CLARKSVILLE, TN 37043-7432
Phone number:
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