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Individual

TAMMY RENEE TERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
215 W GILLESPIE ST, STARKVILLE, MS 39759-3207
(662) 418-5324
(662) 615-6161
Mailing address
711 1/2 WHITFIELD ST, STARKVILLE, MS 39759-3124

Taxonomy

Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
P323367
MS

Other

Enumeration date
09/22/2008
Last updated
09/22/2008
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