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1326593666
THERESA ANGLE
BENTON, KY
NPI
1326593666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KY 2024331)
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
-- THERESA ANGLE
267 SLICKBACK RD
BENTON, KY 42025-7629
Phone number: 270-527-1496
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Mailing Address
-- THERESA ANGLE
267 SLICKBACK RD
BENTON, KY 42025-7629
Phone number: 270-527-1496
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