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1710283759
TAMALA LANDIS
ELIZABETH, CO
NPI
1710283759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: CO 712126)
Enumeration Date
2011-02-09
Last Update Date
2011-02-09
Business Address
TAMALA LANDIS
34061 FOREST PARK DR
ELIZABETH, CO 80107-7842
Phone number: 303-646-4071
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Mailing Address
TAMALA LANDIS
PO BOX 1272
ELIZABETH, CO 80107-1272
Phone number:
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