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1033496476
TARA JANEN MAHAN
ANNAPOLIS, MD
NPI
1033496476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C04638)
Enumeration Date
2011-11-14
Last Update Date
2012-10-05
Business Address
-- TARA JANEN MAHAN PA
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401-3280
Phone number: 443-481-1000
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Mailing Address
-- TARA JANEN MAHAN PA
PO BOX 64916
BALTIMORE, MD 21264-4916
Phone number: 443-481-6469
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