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1821687005
KIRSTEN HAWBAKER
KINGSPORT, TN
NPI
1821687005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0002X Pharmacy Clinic Pharmacy
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
KIRSTEN HAWBAKER
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-6851
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Mailing Address
KIRSTEN HAWBAKER
282 GRANDVIEW CT
KINGSPORT, TN 37664-5064
Phone number: 423-956-9349
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