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Individual

MS. KENDRA DIANN MAYNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
600 N MURRAY ST, GAINESBORO, TN 38562-9313
(931) 268-0218
(931) 268-0872
Mailing address
600 N MURRAY ST, GAINESBORO, TN 38562-9313
(931) 268-0218
(931) 268-0872

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000185891
TN

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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