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Individual
TAMARA LYNN WHYTE KASMARIK
Active
Individual
TAMARA LYNN WHYTE KASMARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0999234
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046G4KA
BCBS
MN
01
—
1202588
MEDICA
MN
01
—
CP9041014218
PREFERRED ONE
MN
Enumeration date
02/02/2006
Last updated
07/09/2007
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