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1912736612
TAKILA TERRELL
SHUBUTA, MS
NPI
1912736612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS 337650)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
TAKILA TERRELL
361 COUNTY ROAD 222
SHUBUTA, MS 39360-9510
Phone number: 769-317-4142
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Mailing Address
TAKILA TERRELL
361 COUNTY ROAD 222
SHUBUTA, MS 39360-9510
Phone number:
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