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Individual

TAMARA BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15196 HWY 96 N, BROOKELAND, TX 75931
(409) 383-3125
Mailing address
PO BOX 89, BROOKELAND, TX 75931-0089

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341426
TX

Other

Enumeration date
04/29/2020
Last updated
04/29/2020
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