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1568710382
AMY BIDWELL TATOM
BEND, OR
NPI
1568710382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201250129NP)
Enumeration Date
2012-08-28
Last Update Date
2024-10-09
Business Address
AMY BIDWELL TATOM APRN-NP
2065 NE TUCSON WAY APT 110
BEND, OR 97701-5182
Phone number: 541-383-3005
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Mailing Address
AMY BIDWELL TATOM APRN-NP
PO BOX 5579
BEND, OR 97708-5579
Phone number: 541-548-2164
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