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Individual

JOSEPH TAMBE TABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3736 EDGEWOOD CT, GRAND PRAIRIE, TX 75052-6698
(240) 462-8065
Mailing address
3736 EDGEWOOD CT, GRAND PRAIRIE, TX 75052-6698

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
956319
TX

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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