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Individual
MARY TINKLEPAUGH
Active
Individual
MARY TINKLEPAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, PHMNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704261537
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704261537
MI
Other
Enumeration date
02/07/2014
Last updated
04/02/2021
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