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Individual
MRS. TAMMY LEE ANN VANDERMOLEN
Active
Individual
MRS. TAMMY LEE ANN VANDERMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2002016318
MO
363LF0000X
Family Nurse Practitioner
Primary
209019527
IL
Other
Enumeration date
10/23/2007
Last updated
07/14/2021
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