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Individual
MRS. THERESA LEE RHOADS
Active
Individual
MRS. THERESA LEE RHOADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
LC0921916
MO
372500000X
Chore Provider
LC0921916
MO
Other
Enumeration date
02/05/2009
Last updated
12/24/2009
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