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1649494691
TAMARA A. PRIDE
CRYSTAL LAKE, IL
NPI
1649494691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085001795)
Enumeration Date
2007-04-12
Last Update Date
2018-05-24
Business Address
Miss TAMARA A. PRIDE PA-C
820 E TERRA COTTA AVE STE 125
CRYSTAL LAKE, IL 60014
Phone number: 815-455-4434
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Mailing Address
Miss TAMARA A. PRIDE PA-C
820 E TERRA COTTA AVE STE 125
CRYSTAL LAKE, IL 60014-3650
Phone number: 847-842-8839
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