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1326410499
TARA M. EASTVOLD
DES MOINES, IA
NPI
1326410499
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Former Name
TARA M. KAMMERUDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A125292)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- TARA M. EASTVOLD NP-C
1212 PLEASANT ST SUITE 204
DES MOINES, IA 50309-1414
Phone number: 515-241-6548
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Mailing Address
-- TARA M. EASTVOLD NP-C
1200 PLEASANT ST
DES MOINES, IA 50309-1406
Phone number: 515-241-6228
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