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Individual

DR. TAMELA LEE SEABOURNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
4301 LIEN RD, MADISON, WI 53704-3608
(608) 819-1911
Mailing address
3803 MONONA DR APT 120, MONONA, WI 53714-2864
(530) 520-5813

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16223-040
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16223-040
PHARMACIST LICENSE
WI
01
52667
PHARMACIST LICENSE
CA
Enumeration date
06/21/2011
Last updated
06/21/2011
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