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1104222504
TERESSA WEAVER
TERRELL, TX
NPI
1104222504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: TX 636194)
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
-- TERESSA WEAVER
9126 COUNTY ROAD 310
TERRELL, TX 75161-7104
Phone number: 972-835-3762
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Mailing Address
-- TERESSA WEAVER
9126 COUNTY ROAD 310
TERRELL, TX 75161-7104
Phone number: 972-835-3762
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