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1568574564
TABITHA NICOLE MARIS
CHEYENNE, WY
NPI
1568574564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 26442)
Enumeration Date
2006-08-31
Last Update Date
2009-01-22
Business Address
-- TABITHA NICOLE MARIS FNP
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-633-7929
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Mailing Address
-- TABITHA NICOLE MARIS FNP
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-633-7929
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