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1316573611
TARA S. KEEN
LAKE CITY, FL
NPI
1316573611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11005780)
Enumeration Date
2020-03-18
Last Update Date
2022-02-22
Business Address
TARA S. KEEN NP-Family
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
TARA S. KEEN NP-Family
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209-6525
Phone number: 386-755-3016
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