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1669576989
THERESA RENEE KING
BROOKHAVEN, MS
NPI
1669576989
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Former Name
THERESA RENEE KING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R873560)
Enumeration Date
2006-09-08
Last Update Date
2015-10-20
Business Address
THERESA RENEE KING RN, CFNP
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601-2350
Phone number: 601-826-5500
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Mailing Address
THERESA RENEE KING RN, CFNP
PO BOX 1805
BRANDON, MS 39043-1805
Phone number: 601-826-5500
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