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Individual

TARA LYN COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP

Contact information

Practice address
454 CHAUNCY ST, MANSFIELD, MA 02048-1110
(508) 339-9944
Mailing address
27 GREENBROOK DR, STOUGHTON, MA 02072-4908
(781) 344-6685

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
254134
MA

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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