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Individual

MRS. TAMARA L FARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
53-74829-122
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200001360B
KS
Enumeration date
12/13/2006
Last updated
08/08/2010
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