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Individual

TERESA HILBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
840 INTERSTATE DR, GRAYSON, KY 41143-1768
(606) 474-5151
(606) 475-3219
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1070554
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
Enumeration date
09/15/2006
Last updated
11/07/2014
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