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1447631908
TAMMY SMITH
LAKE HAVASU CITY, AZ
NPI
1447631908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP7878)
Enumeration Date
2015-06-10
Last Update Date
2015-07-14
Business Address
-- TAMMY SMITH
2091 SMOKETREE AVE N STE 103
LAKE HAVASU CITY, AZ 86403-5896
Phone number: 928-453-3332
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Mailing Address
-- TAMMY SMITH
89 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403-0810
Phone number: 928-854-1398
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