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Individual
MISS TARA LYNN TINGLER
Active
Individual
MISS TARA LYNN TINGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102755
FL
Other
Enumeration date
06/17/2005
Last updated
11/05/2007
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