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1902260805
SHARON GILGENAST
CLARKSVILLE, TN
NPI
1902260805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
-- SHARON GILGENAST B.S,
1279 CLOVERDALE DR
CLARKSVILLE, TN 37040-4714
Phone number: 931-538-0261
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Mailing Address
-- SHARON GILGENAST B.S,
1279 CLOVERDALE DR
CLARKSVILLE, TN 37040-4714
Phone number: 931-538-0261
Copy
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