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Individual
TAMARA LYNN PARADIES
Active
Individual
TAMARA LYNN PARADIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041300195
IL
363LF0000X
Family Nurse Practitioner
Primary
209024326
IL
Other
Enumeration date
10/09/2021
Last updated
05/10/2022
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