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1811637713
KIM RICHARDSON
JOHNSON CITY, TN
NPI
1811637713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN 3764)
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
KIM RICHARDSON
2800 PEOPLES ST STE 90
JOHNSON CITY, TN 37604-4158
Phone number: 423-928-0345
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Mailing Address
KIM RICHARDSON
218 KEEFAUVER RD
JOHNSON CITY, TN 37615-4409
Phone number: 423-676-5863
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