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Individual

MS. TERESA LYNN SHERARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
504 NW 10TH AVE, AVA, MO 65608-0000
(417) 683-5739
(417) 683-1602
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
(417) 683-1602

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23121
OK
208D00000X
General Practice Physician
Primary
2011027767
MO

Other

Enumeration date
12/15/2006
Last updated
11/22/2011
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