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Individual
TAMARA L MADJID
Active
Individual
TAMARA L MADJID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0078685
OK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0078685
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200218440A
—
OK
01
—
78685
STATE LICENSE
OK
Enumeration date
10/28/2008
Last updated
12/18/2012
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