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Tara Mistell Douglas

NPI #1184153264 in Oneida, Tennessee

Provider Information

NPI Number
1184153264
Entity Type
Individual
Name
Tara Mistell Douglas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacy Technician
Enumeration Date
Jun 12, 2017
Last Updated
Jun 12, 2017

Practice Location

Address
279 UNDERPASS DR
City
Oneida
State
Tennessee
ZIP Code
37841-5885
Phone
(423) 569-7800

Specialties & Taxonomy Codes

Specialty
Pharmacy Technician

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