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1194356063
TERESA YVONNE BUSH
JACKSONVILLE, AR
NPI
1194356063
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Former Name
TERESA YVONNE OWENS, SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L013112)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
Mrs. TERESA YVONNE BUSH LPN
2400 WEST MAIN ST
JACKSONVILLE, AR 72076
Phone number: 501-982-0528
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Mailing Address
Mrs. TERESA YVONNE BUSH LPN
2400 W. MAIN ST. PATHFINDER PRESCHOOL
JACKSONVILLE, AR 72076
Phone number: 501-982-0528
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