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1215433941
TERESA DIANE SMOOT
CANYON, TX
NPI
1215433941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137113)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
TERESA DIANE SMOOT
2403 RUSSELL LONG BLVD
CANYON, TX 79016-0005
Phone number: 806-651-4100
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Mailing Address
TERESA DIANE SMOOT
2403 RUSSELL LONG BLVD
CANYON, TX 79016-0005
Phone number: 806-651-4100
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