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1174130363
MARY JALENE TERRY
LIMA, OH
NPI
1174130363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OH 392993)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
MARY JALENE TERRY
799 S MAIN ST
LIMA, OH 45804-1519
Phone number: 419-229-2222
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Mailing Address
MARY JALENE TERRY
16813 TOWNSHIP ROAD 55
BELLE CENTER, OH 43310-9664
Phone number: 937-441-9484
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