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1982391652
TARA MAY LANCOUR
FAIRHOPE, AL
NPI
1982391652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AL 1-164682)
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
MRS. TARA MAY LANCOUR PMHNP
372 GREENO RD S
FAIRHOPE, AL 36532-1916
Phone number: 251-450-2211
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Mailing Address
MRS. TARA MAY LANCOUR PMHNP
8016 DEERWOOD DR S
DAPHNE, AL 36526-7281
Phone number: 810-835-1521
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