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1013469162
TARA THOMPSON
CLAYMONT, DE
NPI
1013469162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA SP016645)
Enumeration Date
2016-10-25
Last Update Date
2016-10-25
Business Address
-- TARA THOMPSON
3311 SOCIETY DR
CLAYMONT, DE 19703-1711
Phone number: 267-934-7981
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Mailing Address
-- TARA THOMPSON
3311 SOCIETY DR
CLAYMONT, DE 19703-1711
Phone number: 267-934-7981
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