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1811326119
TAMARA CHINIKAYLO
WILKES BARRE, PA
NPI
1811326119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP013146)
Enumeration Date
2013-11-06
Last Update Date
2014-01-17
Business Address
-- TAMARA CHINIKAYLO CRNP
25 CHURCH ST
WILKES BARRE, PA 18702-3507
Phone number: 877-507-4957
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Mailing Address
-- TAMARA CHINIKAYLO CRNP
25 CHURCH ST
WILKES BARRE, PA 18765-0999
Phone number: 570-808-3410
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