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Individual

MRS. TERRI DIANE MABERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
5459 HWY 59 N, LUFKIN, TX 75901-8531
(936) 676-0354
Mailing address
PO BOX 615, HUNTINGTON, TX 75949-0615
(936) 676-0352

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT028461
TX

Other

Enumeration date
07/30/2010
Last updated
07/30/2010
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