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1922310531
TERESA D SMITH
SOUTHAVEN, MS
NPI
1922310531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R851596)
Enumeration Date
2010-07-12
Last Update Date
2015-05-13
Business Address
-- TERESA D SMITH FNP
122 AIRWAYS PL
SOUTHAVEN, MS 38671-5872
Phone number: 662-349-9990
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Mailing Address
-- TERESA D SMITH FNP
122 AIRWAYS PL
SOUTHAVEN, MS 38671-5872
Phone number: 662-349-9990
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