Individual
MS. TAMARA KAREN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 VALLEY RIM CT, SHAWNEE, OK 74804-8925
(405) 273-7678
Mailing address
112 VALLEY RIM CT, SHAWNEE, OK 74804-8925
(405) 273-7678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0065709
OK
163W00000X
Registered Nurse
Primary
493889
CA
163WP2201X
Ambulatory Care Registered Nurse
2007002506-32
MD
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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