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1063064012
TARA PARVATHANENI
SPRINGFIELD, MO
NPI
1063064012
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Former Name
TARA FUCHS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2019025785)
Enumeration Date
2019-07-10
Last Update Date
2021-02-03
Business Address
TARA PARVATHANENI NP
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-9123
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Mailing Address
TARA PARVATHANENI NP
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-9123
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