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Individual

DEBRA K GIVIDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 HILLS DALE LN W, CARTHAGE, TN 37030-2027
(615) 735-3982
Mailing address
15 HILLS DALE LN W, CARTHAGE, TN 37030-2027

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
376K00000X
NURSE ASSISTANT
TN
Enumeration date
08/08/2011
Last updated
08/08/2011
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