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Individual

TAMARA KAY RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
9900 BREN RD E, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-9664
(817) 602-1525
Mailing address
6200 FIRENZE DR, FORT WORTH, TX 76140-8249
(817) 483-4307

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
255493
TX
363LA2200X
Adult Health Nurse Practitioner
AP122287
TX

Other

Enumeration date
09/17/2012
Last updated
09/17/2020
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