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1356943054
TERESA JO ETHERTON
AUSTIN, TX
NPI
1356943054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1019215)
Enumeration Date
2020-11-09
Last Update Date
2023-02-15
Business Address
Mrs. TERESA JO ETHERTON FNP-C
8229 SHOAL CREEK BLVD STE 105
AUSTIN, TX 78757-7556
Phone number: 737-245-7587
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Mailing Address
Mrs. TERESA JO ETHERTON FNP-C
8229 SHOAL CREEK BLVD STE 105
AUSTIN, TX 78757-7556
Phone number: 817-939-1322
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