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Individual
MRS. TAMIKA D ELLIOTT
Active
Individual
MRS. TAMIKA D ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
2671
SC
Other
Enumeration date
10/13/2006
Last updated
07/28/2008
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