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1588791115
LUCY MARIE LONGMIRE
JACKSON, TN
NPI
1588791115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN0000035719)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Ms. LUCY MARIE LONGMIRE LPN CERTIFICATION
295 SUMMAR DR CDC CLINIC
JACKSON, TN 38301-3905
Phone number: 731-421-6735
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Mailing Address
Ms. LUCY MARIE LONGMIRE LPN CERTIFICATION
295 SUMMAR DR CDC CLINIC
JACKSON, TN 38301-3905
Phone number: 731-421-6735
Copy
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