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Individual
TERISA LYNN FOSTER FLICK
Active
Individual
TERISA LYNN FOSTER FLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0064399
MD
Other
Enumeration date
01/30/2007
Last updated
01/18/2012
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