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Individual

MISS KATHERINE BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2834 LANTHORN DR, CORDOVA, TN 38016-8409
(901) 864-2730
Mailing address
2834 LANTHORN DR, CORDOVA, TN 38016-8409
(901) 864-2730

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TN

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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