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1407952062
THERESA C PHILLIPS
JEFFERSON CITY, MO
NPI
1407952062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC1500X Nurse Practitioner, Community Health
(Licence: MO 088676)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Mrs. THERESA C PHILLIPS MSN APRN, BC
1616 INDUSTRIAL DR COLE COUNTY HEALTH DEPARTMENT
JEFFERSON CITY, MO 65109-1471
Phone number: 573-636-2181
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Mailing Address
Mrs. THERESA C PHILLIPS MSN APRN, BC
411 RIVERVIEW DR
JEFFERSON CITY, MO 65101-4370
Phone number: 573-659-6692
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