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1871045880
KATIE KORTH
CROSSVILLE, TN
NPI
1871045880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TN 0000000865)
Enumeration Date
2016-10-26
Last Update Date
2016-10-26
Business Address
Mrs. KATIE KORTH HIS
15 IRIS LN
CROSSVILLE, TN 38555-7528
Phone number: 931-456-2728
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Mailing Address
Mrs. KATIE KORTH HIS
15 IRIS LN
CROSSVILLE, TN 38555-7528
Phone number: 931-456-2728
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