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1801452693
TARA SHARIE PEMBERTON
NEW ALBANY, IN
NPI
1801452693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3013178)
Enumeration Date
2019-05-16
Last Update Date
2020-10-27
Business Address
TARA SHARIE PEMBERTON APRN
3605 NORTHGATE CT STE 110
NEW ALBANY, IN 47150-6400
Phone number: 812-949-5749
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Mailing Address
TARA SHARIE PEMBERTON APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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