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1043720071
TERESA ANN SMITH
TUPELO, MS
NPI
1043720071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901640)
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
TERESA ANN SMITH
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-3270
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Mailing Address
TERESA ANN SMITH
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-3270
Copy
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