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Individual
TAMMY L CLINE
Active
Individual
TAMMY L CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27942
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000607
—
WV
Enumeration date
08/24/2005
Last updated
08/18/2021
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