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1275360802
TARA WHITE
PETALUMA, CA
NPI
1275360802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029939)
Enumeration Date
2024-09-17
Last Update Date
2024-10-15
Business Address
TARA WHITE NP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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Mailing Address
TARA WHITE NP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number:
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