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1144617705
TARA D PARKS
WYTHEVILLE, VA
NPI
1144617705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024172439)
Enumeration Date
2015-04-22
Last Update Date
2023-12-29
Business Address
TARA D PARKS FNP
1785 W. LEE HWY
WYTHEVILLE, VA 24382
Phone number: 276-228-6499
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Mailing Address
TARA D PARKS FNP
1785 W. LEE HWY
WYTHEVILLE, VA 24382
Phone number: 276-228-6499
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