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Individual
TAMMY JO GUSTIN
Active
Individual
TAMMY JO GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-05271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160245
—
OH
Enumeration date
03/10/2006
Last updated
06/11/2009
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