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Individual
TAMARA J MOUTSATSON
Active
Individual
TAMARA J MOUTSATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101014853
MI
Other
Enumeration date
06/13/2006
Last updated
03/19/2019
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