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Individual

MS. DERRYL LYNN SHIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
(931) 762-6505
Mailing address
502 BUSBY RD, LORETTO, TN 38469-3235
(256) 651-6193

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/31/2012
Last updated
01/31/2012
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