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Individual

KATHIE LYNN FAWBUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
9334 DAYTON PIKE, SODDY DAISY, TN 37379-4855
(423) 332-9957
(423) 332-9611
Mailing address
810 CANDIES CREEK RD, MC DONALD, TN 37353-5533
(502) 542-0862

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37620
TN

Other

Enumeration date
04/13/2018
Last updated
04/13/2018
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