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1962991893
KIMBERLY RENEE WYNN
MAYNARDVILLE, TN
NPI
1962991893
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Former Name
KIMBERLY RENEE BLANKENSHIP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN83568)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
KIMBERLY RENEE WYNN LPN
4330 MAYNARDVILLE HWY
MAYNARDVILLE, TN 37807-3618
Phone number: 865-992-3849
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Mailing Address
KIMBERLY RENEE WYNN LPN
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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