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1891054052
KYRA MINICHAN
GALLATIN, TN
NPI
1891054052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN 1510)
Enumeration Date
2012-05-09
Last Update Date
2012-05-09
Business Address
-- KYRA MINICHAN SLP-CCC
695 E MAIN ST
GALLATIN, TN 37066-2472
Phone number: 423-622-1551
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Mailing Address
-- KYRA MINICHAN SLP-CCC
695 E MAIN ST
GALLATIN, TN 37066-2472
Phone number: 423-622-1551
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