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1700429826
MIKIALA CHAE WELLS
KINGSPORT, TN
NPI
1700429826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN 7324)
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
Mrs. MIKIALA CHAE WELLS RDH, BSDH
1647 E STONE DR
KINGSPORT, TN 37660-4609
Phone number: 423-245-2202
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Mailing Address
Mrs. MIKIALA CHAE WELLS RDH, BSDH
1006 CATAWBA ST
KINGSPORT, TN 37660-4502
Phone number: 276-870-1378
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