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1164801197
TERESA HARRIS
O FALLON, IL
NPI
1164801197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2009000824)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
-- TERESA HARRIS
830 DEER CREEK RD
O FALLON, IL 62269-4206
Phone number: 314-574-8314
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Mailing Address
-- TERESA HARRIS
830 DEER CREEK RD
O FALLON, IL 62269-4206
Phone number: 314-574-8314
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