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1073936688
TARA DENDEKKER
OKEMOS, MI
NPI
1073936688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704301947)
Enumeration Date
2014-02-03
Last Update Date
2014-02-03
Business Address
-- TARA DENDEKKER CNP
4129 OKEMOS RD STE 6
OKEMOS, MI 48864-2822
Phone number: 517-803-4544
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Mailing Address
-- TARA DENDEKKER CNP
4129 OKEMOS RD STE 6
OKEMOS, MI 48864-2822
Phone number: 517-803-4544
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