Individual
MS. KIM R STURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MAIN ST, GLEASON, TN 38229-7268
(731) 648-5146
(731) 648-5524
Mailing address
120 PENN DR, TRENTON, TN 38382-3803
(731) 343-0854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4362
TN
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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