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1548709942
TAMATHIA TATE
MADISON, MS
NPI
1548709942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901598)
Enumeration Date
2017-02-17
Last Update Date
2017-02-17
Business Address
-- TAMATHIA TATE N.P.
111 COLONY CROSSING WAY SUITE 430
MADISON, MS 39110-7778
Phone number: 601-715-3053
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Mailing Address
-- TAMATHIA TATE N.P.
111 COLONY CROSSING WAY SUITE 430
MADISON, MS 39110-7778
Phone number: 601-715-3053
Copy
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