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Individual
MRS. TAMARA JEANNE SETOLA
Active
Individual
MRS. TAMARA JEANNE SETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R114538
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992794051
GROUP NPI NUMBER
MD
Enumeration date
09/25/2012
Last updated
01/03/2013
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