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1689079717
TERRELL MCCOLLOUGH
POPLAR BLUFF, MO
NPI
1689079717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2013036154)
Enumeration Date
2014-10-31
Last Update Date
2014-10-31
Business Address
-- TERRELL MCCOLLOUGH LPN
1369 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3313
Phone number: 573-772-7937
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Mailing Address
-- TERRELL MCCOLLOUGH LPN
2558 BROWNWOOD CT
POPLAR BLUFF, MO 63901-2656
Phone number:
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