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1528342730
THERESA ROSE WOODARD
BLOOMINGTON, IN
NPI
1528342730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71003686A)
Enumeration Date
2011-10-06
Last Update Date
2011-10-06
Business Address
-- THERESA ROSE WOODARD NP
3209 W FULLERTON PIKE STE E
BLOOMINGTON, IN 47403-4060
Phone number: 812-825-6102
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Mailing Address
-- THERESA ROSE WOODARD NP
5725 S BEVERLY DR
BLOOMINGTON, IN 47401-9681
Phone number: 812-650-2634
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