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1164958674
THERESA DAVIS
GREENVILLE, NC
NPI
1164958674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-07229)
Enumeration Date
2017-05-03
Last Update Date
2017-05-03
Business Address
-- THERESA DAVIS
300 BETHESDA DR
GREENVILLE, NC 27834-7218
Phone number: 252-752-7141
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Mailing Address
-- THERESA DAVIS
4026 TALIAFERRO LN
LOUISVILLE, TN 37777-3041
Phone number:
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