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1144281130
TAMARA L RIESS
GRANGER, IN
NPI
1144281130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 71006906A)
Enumeration Date
2006-03-29
Last Update Date
2021-04-05
Business Address
Mrs. TAMARA L RIESS NP
6913 N MAIN ST
GRANGER, IN 46530
Phone number: 574-647-1550
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Mailing Address
Mrs. TAMARA L RIESS NP
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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