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Individual

TERESA RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
515 MCDONOUGH, HELENA, AR 72342-2912
(870) 338-8106
Mailing address
515 MCDONOUGH, HELENA, AR 72342-2912

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L50578
AR

Other

Enumeration date
10/12/2012
Last updated
10/12/2012
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