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1669011805
KIMBRA W HUMERICKHOUSE
MEMPHIS, TN
NPI
1669011805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN 2695)
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
KIMBRA W HUMERICKHOUSE RDH
875 UNION AVE # C517
MEMPHIS, TN 38103-3513
Phone number: 901-448-1848
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Mailing Address
KIMBRA W HUMERICKHOUSE RDH
170 HUNTINGTON DR
ROSSVILLE, TN 38066-3884
Phone number: 901-262-4129
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