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1487801338
TERESA POLK
RICHLAND, MS
NPI
1487801338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS R694061)
Enumeration Date
2008-08-22
Last Update Date
2014-06-13
Business Address
-- TERESA POLK CFNP
811 HIGHWAY 49 SOUTH
RICHLAND, MS 39218
Phone number: 601-932-5060
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Mailing Address
-- TERESA POLK CFNP
PO BOX 180165
RICHLAND, MS 39218
Phone number: 601-932-5060
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