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Individual

TERESA PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4980 MOCCASIN VALLEY RD, LEBANON, VA 24266-5608
(276) 210-5266
Mailing address
PO BOX 362, LEBANON, VA 24266-0362
(276) 210-5266

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/01/2022
Last updated
02/01/2022
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