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1659159648
TERESA SELF
PITTSBURG, KS
NPI
1659159648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 82532)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
TERESA SELF
1011 S MOUNT CARMEL PL
PITTSBURG, KS 66762-6604
Phone number: 888-777-9170
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Mailing Address
TERESA SELF
PO BOX 1832
PITTSBURG, KS 66762-1832
Phone number: 620-240-5668
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