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1750023164
AMBER TACKETT
FONTANA, CA
NPI
1750023164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95020645)
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
AMBER TACKETT NP-C
6333 KEYSTONE WAY
FONTANA, CA 92336-4054
Phone number: 951-990-9415
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Mailing Address
AMBER TACKETT NP-C
6333 KEYSTONE WAY
FONTANA, CA 92336-4054
Phone number: 951-990-9415
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