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1245059450
TARA WIESNER
HOUSTON, TX
NPI
1245059450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: CO 0140447)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
TARA WIESNER MSN,CCM
12337 JONES RD STE 100
HOUSTON, TX 77070-4844
Phone number: 303-570-0134
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Mailing Address
TARA WIESNER MSN,CCM
1852 PARKDALE CIR S
ERIE, CO 80516-2407
Phone number: 720-933-3039
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