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1922578707
TAMARA JANE CAROL DAWN DEGENHARDT
EL RENO, OK
NPI
1922578707
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Former Name
TAMARA JANE CAROL DAWN SCHMID
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 91127)
Enumeration Date
2018-12-05
Last Update Date
2023-06-01
Business Address
TAMARA JANE CAROL DAWN DEGENHARDT APRN
4205 OK-66
EL RENO, OK 73036-4909
Phone number: 405-262-4875
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Mailing Address
TAMARA JANE CAROL DAWN DEGENHARDT APRN
809 FIREFORK AVE
YUKON, OK 73099-0504
Phone number: 405-985-9940
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