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1992785711
KIM R GLICK
TULLAHOMA, TN
NPI
1992785711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TN DS0000004568)
Enumeration Date
2006-01-18
Last Update Date
2007-07-09
Business Address
KIM R GLICK D.D.S.
208 N WASHINGTON ST
TULLAHOMA, TN 37388-3649
Phone number: 931-455-3917
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Mailing Address
KIM R GLICK D.D.S.
208 N WASHINGTON ST
TULLAHOMA, TN 37388-3649
Phone number: 931-455-3917
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