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1023375631
TARA PHILLIPS
FAYETTEVILLE, AR
NPI
1023375631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SP#P8552)
Enumeration Date
2012-04-19
Last Update Date
2012-09-27
Business Address
-- TARA PHILLIPS
2758 E MILLENNIUM PL
FAYETTEVILLE, AR 72703-4798
Phone number: 479-283-4637
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Mailing Address
-- TARA PHILLIPS
2758 E MILLENNIUM PL
FAYETTEVILLE, AR 72703-4798
Phone number: 479-283-4637
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