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Individual

TANA BOURDAGE-ALLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
NAVAHCS 550 NORTH HIGHWAY 89, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
4875 E BUFFALO GRASS CIR, RIMROCK, AZ 86335-6000
(928) 567-2637

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APO328
AZ

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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