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1053371872
TAMARA JACKMAN
SAINT PAUL, MN
NPI
1053371872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MN 164100-2)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
-- TAMARA JACKMAN
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107-2226
Phone number: 651-222-1816
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Mailing Address
-- TAMARA JACKMAN
3023 44TH AVE S
MINNEAPOLIS, MN 55406-2311
Phone number:
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