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Individual

TERESA LESHAWN MORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5051 BOA CIR, LAKE WORTH, FL 33463-1501
(561) 275-9123
Mailing address
5051 BOA CIR, LAKE WORTH, FL 33463-1501
(561) 275-9123

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
04/03/2016
Last updated
04/03/2016
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