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1033435888
TARA POLONI
CHANDLER, AZ
NPI
1033435888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ 4316)
Enumeration Date
2010-04-19
Last Update Date
2020-01-23
Business Address
Mrs. TARA POLONI OTR/L
3970 E RIGGS RD STE 1
CHANDLER, AZ 85249-5412
Phone number: 480-883-0202
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Mailing Address
Mrs. TARA POLONI OTR/L
3970 E RIGGS RD STE 1
CHANDLER, AZ 85249-5412
Phone number: 480-883-0202
Copy
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