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1356424758
TAMMY L PROUT
PORT HURON, MI
NPI
1356424758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704173662)
Enumeration Date
2006-10-23
Last Update Date
2017-08-15
Business Address
-- TAMMY L PROUT NP
1221 PINE GROVE AVE EMERGENCY DEPARTMENT
PORT HURON, MI 48060-3511
Phone number: 810-989-3300
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Mailing Address
-- TAMMY L PROUT NP
10601 4TH ST NW
ALBUQUERQUE, NM 87114-2407
Phone number: 505-828-3000
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