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Individual

MS. TAMARA LYNN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
132 S MILLER ST, MESA, AZ 85204-1120
(480) 369-6217
Mailing address
132 S MILLER ST, MESA, AZ 85204-1120
(480) 369-6217

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-14407
AZ

Other

Enumeration date
05/31/2013
Last updated
05/31/2013
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