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1669622072
THERESA M JEFFERSON
LONG BEACH, CA
NPI
1669622072
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Other Name
THERESA M MONTGOMERY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN185520)
Enumeration Date
2008-09-22
Last Update Date
2008-09-22
Business Address
-- THERESA M JEFFERSON LVN
490 W 14TH ST
LONG BEACH, CA 90813-2943
Phone number: 562-591-8701
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Mailing Address
-- THERESA M JEFFERSON LVN
490 W 14TH ST
LONG BEACH, CA 90813-2943
Phone number: 562-591-8701
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