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1407570781
THERESA NEWBURY
LAUREL, MS
NPI
1407570781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS 317239)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
THERESA NEWBURY LPN
934 WEST DR
LAUREL, MS 39440-4702
Phone number: 601-426-7520
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Mailing Address
THERESA NEWBURY LPN
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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