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Organization
TILLOTSON PRIMARY CARE, LLC
Active
Organization
TILLOTSON PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANDARA M JARBOE (MANAGER)
(765) 716-0693
Entity
Organization
Contact information
Practice address
100 N TILLOTSON AVE, MUNCIE, IN 47304-3987
(765) 281-9497
(765) 281-8850
Mailing address
100 N TILLOTSON AVE, MUNCIE, IN 47304-3987
(765) 281-9497
(765) 281-8850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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