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1588282784
MARY TACKBARY
TRAVERSE CITY, MI
NPI
1588282784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704106451)
Enumeration Date
2020-07-14
Last Update Date
2023-01-20
Business Address
MARY TACKBARY
934 S GARFIELD AVE STE A
TRAVERSE CITY, MI 49686-2402
Phone number: 231-935-0355
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Mailing Address
MARY TACKBARY
3932 W BRIAR HILL DR
MAPLE CITY, MI 49664-9521
Phone number: 630-776-0303
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