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1063859056
TAMMY M VANDERBOEGH
TULSA, OK
NPI
1063859056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 55328)
Enumeration Date
2013-05-30
Last Update Date
2013-05-30
Business Address
-- TAMMY M VANDERBOEGH LPN
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
-- TAMMY M VANDERBOEGH LPN
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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