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1245972181
TINA MARIE CARLSON
LINCOLN CITY, OR
NPI
1245972181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NH 076986-23)
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
TINA MARIE CARLSON FNP-BC
1105 SE JETTY AVE STE C
LINCOLN CITY, OR 97367-2604
Phone number: 541-614-0482
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Mailing Address
TINA MARIE CARLSON FNP-BC
2D MANOR DR
HOOKSETT, NH 03106-1729
Phone number: 907-301-8302
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