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1750975116
TAMARA TARA MANNS
SHREVEPORT, LA
NPI
1750975116
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Former Name
TAMARA TARA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: LA RN150117)
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
TAMARA TARA MANNS RN
537 CUMBERLAND DR
SHREVEPORT, LA 71106-5919
Phone number: 318-560-0409
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Mailing Address
TAMARA TARA MANNS RN
425 PLAZA CIR
BOSSIER CITY, LA 71111-4811
Phone number: 419-307-4980
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