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Individual
TARA JAMES VAN EEDE
Active
Individual
TARA JAMES VAN EEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 231781
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/30/2007
Last updated
01/30/2008
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