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1750043311
KAYLA FORTENBERRY
NEW TAZEWELL, TN
NPI
1750043311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 90639)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
KAYLA FORTENBERRY LPN
1596 HIGHWAY 33 S
NEW TAZEWELL, TN 37825-7104
Phone number: 423-626-8271
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Mailing Address
KAYLA FORTENBERRY LPN
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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