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1952667636
TAMARA LEE MIELOCK
INDIANAPOLIS, IN
NPI
1952667636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704286137)
Enumeration Date
2012-04-06
Last Update Date
2016-04-12
Business Address
Ms. TAMARA LEE MIELOCK NP-C
1481 WEST 10TH STREET RICHARD L. ROUDEBUSH VA MEDICAL CENTER
INDIANAPOLIS, IN 46202
Phone number: 317-988-2387
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Mailing Address
Ms. TAMARA LEE MIELOCK NP-C
414 ALICE ST
EAST TAWAS, MI 48730-1542
Phone number: 989-305-5299
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