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1720412752
DESTINI BLANCHE GONYON
COLUMBIA, TN
NPI
1720412752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 76069)
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
-- DESTINI BLANCHE GONYON LPN
2891 KNOB CREEK RD
COLUMBIA, TN 38401-1437
Phone number: 931-797-8744
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Mailing Address
-- DESTINI BLANCHE GONYON LPN
2891 KNOB CREEK RD
COLUMBIA, TN 38401-1437
Phone number:
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