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Individual

TAMARA A STRASSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 751-4353
Mailing address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 751-4353

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN182453
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200442180
IN
05
2412580
OH
05
78010527
KY
01
P00892985
MEDICARE RAILROAD
OH
Enumeration date
07/15/2005
Last updated
11/12/2015
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