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1053457176
TERESA HALLEY WILLIS
MONROE, LA
NPI
1053457176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN031851 APO1344)
Enumeration Date
2007-01-29
Last Update Date
2007-11-05
Business Address
-- TERESA HALLEY WILLIS CRNA
3421 MEDICAL PARK DR
MONROE, LA 71203-2355
Phone number: 318-388-7890
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Mailing Address
-- TERESA HALLEY WILLIS CRNA
240 CHAPMAN JOHNSON RD
CALHOUN, LA 71225-8669
Phone number: 318-547-9400
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