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1366792319
TANYA L SMITH
WILLMAR, MN
NPI
1366792319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN R164223-4)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- TANYA L SMITH CNP
101 WILLMAR AVE SW
WILLMAR, MN 56201-3556
Phone number: 320-231-5000
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Mailing Address
-- TANYA L SMITH CNP
101 WILLMAR AVE SW
WILLMAR, MN 56201-3556
Phone number: 320-231-5000
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