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1932665106
TAMARA M. THIBODEAUX
SAN ANTONIO, TX
NPI
1932665106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP140186)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
Ms. TAMARA M. THIBODEAUX FNP-BC
7333 POTRANCO RD APT 7103
SAN ANTONIO, TX 78251-2260
Phone number: 910-260-8397
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Mailing Address
Ms. TAMARA M. THIBODEAUX FNP-BC
PO BOX 769787
SAN ANTONIO, TX 78245-9363
Phone number: 910-260-8397
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