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1104944800
TERRY EBERSOLE
CORPUS CHRISTI, TX
NPI
1104944800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: TX 653594)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- TERRY EBERSOLE RN
601 TEXAN TRL STE 300
CORPUS CHRISTI, TX 78411-2547
Phone number: 361-854-0811
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Mailing Address
-- TERRY EBERSOLE RN
601 TEXAN TRL STE 300
CORPUS CHRISTI, TX 78411-2547
Phone number: 361-854-0811
Copy
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