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Individual
TAMARA DJURISIC
Active
Individual
TAMARA DJURISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-108660
IL
207Q00000X
Family Medicine Physician
Primary
45153
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108660
—
IL
05
—
631482
—
AZ
Enumeration date
07/07/2006
Last updated
03/28/2022
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