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1053594275
TERESA J TIBBETTS M D LLC
LAKE HAVASU CITY, AZ
NPI
1053594275
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Entity Type
Organization
Authorized Contact
TERESA J TIBBETTS
Owner
928-680-4233
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 27163)
Enumeration Date
2007-12-11
Last Update Date
2008-08-05
Business Address
TERESA J TIBBETTS M D LLC
2082 MESQUITE AVE SUITE A106
LAKE HAVASU CITY, AZ 86403-6710
Phone number: 928-680-4233
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Mailing Address
TERESA J TIBBETTS M D LLC
PO BOX 2325
LAKE HAVASU CITY, AZ 86405-2325
Phone number: 928-680-4233
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