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Individual

MS. TAMRA LANETTE HAIRSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
2958 E 11TH AVE, COLUMBUS, OH 43219-3748
(614) 332-4822
Mailing address
2958 E 11TH AVE, COLUMBUS, OH 43219-3748
(614) 332-4822

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN269428
OH

Other

Enumeration date
12/05/2006
Last updated
12/03/2024
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