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1831526557
TARA RENE BLACKWELDER
OFFUTT AFB, NE
NPI
1831526557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP8238)
Enumeration Date
2013-09-27
Last Update Date
2023-07-10
Business Address
Mrs. TARA RENE BLACKWELDER NP-C
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-6033
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Mailing Address
Mrs. TARA RENE BLACKWELDER NP-C
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-6033
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