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1205209319
TATIANA RUPP
PHOENIX, AZ
NPI
1205209319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ TRN195621)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- TATIANA RUPP APN
4204 W CACTUS RD
PHOENIX, AZ 85029-2924
Phone number: 602-547-5919
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Mailing Address
-- TATIANA RUPP APN
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4203
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