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Individual

MISS MAURA MICHELE D TAMPLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
84 CENTRAL AVE, WAILUKU, HI 96793-1725
(808) 280-0229
(808) 242-4100
Mailing address
PO BOX 3046, KAHULUI, HI 96733-3046
(808) 280-0229
(808) 242-4100

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2514
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0 025658-6
HMSA
HI
05
57488101
HI
Enumeration date
01/11/2007
Last updated
11/12/2007
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