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1033650130
TARA J SCOGIN
FAIRBANKS, AK
NPI
1033650130
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Former Name
TARA J NORTHINGTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 120113)
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
TARA J SCOGIN DPT
1275 SADLER WAY SUITE 201
FAIRBANKS, AK 99701-3175
Phone number: 907-374-0992
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Mailing Address
TARA J SCOGIN DPT
1917 ABBOTT RD STE 200
ANCHORAGE, AK 99507-3449
Phone number: 907-743-8218
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