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1760605380
WENDELL C. SOARES
CLARKSVILLE, TN
NPI
1760605380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 154726)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
-- WENDELL C. SOARES RN
330 PAGEANT LN
CLARKSVILLE, TN 37040-3854
Phone number: 931-648-5747
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Mailing Address
-- WENDELL C. SOARES RN
330 PAGEANT LN
CLARKSVILLE, TN 37040-3854
Phone number: 931-648-5747
Copy
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