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1114262656
TERESA KAY FARRIS
SYCAMORE, IL
NPI
1114262656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209010009)
Enumeration Date
2012-12-11
Last Update Date
2017-05-12
Business Address
Mrs. TERESA KAY FARRIS APN-BC
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
Phone number: 815-758-8671
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Mailing Address
Mrs. TERESA KAY FARRIS APN-BC
1850 GATEWAY DR
SYCAMORE, IL 60178-3192
Phone number: 815-758-8671
Copy
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