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1790737963
THERESA SOUTAR
LAUREL SPRINGS, NJ
NPI
1790737963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26N009304400)
Enumeration Date
2006-05-16
Last Update Date
2010-03-19
Business Address
-- THERESA SOUTAR R.N. APN-C
1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ 08021-2769
Phone number: 856-227-6575
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Mailing Address
-- THERESA SOUTAR R.N. APN-C
402 LIPPINCOTT DR
MARLTON, NJ 08053-4112
Phone number: 856-782-3300
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