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1659391092
LENITA THIBAULT
KINGSPORT, TN
NPI
1659391092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TN 21333)
Enumeration Date
2006-07-20
Last Update Date
2012-07-12
Business Address
DR. LENITA THIBAULT MD
135 W RAVINE RD SUITE 1A
KINGSPORT, TN 37660-3847
Phone number: 423-224-4920
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Mailing Address
DR. LENITA THIBAULT MD
999 EXECUTIVE PARK BLVD SUITE 201
KINGSPORT, TN 37660-4632
Phone number: 423-224-3250
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