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1033962634
TARA JANE MICK
BUCKHANNON, WV
NPI
1033962634
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Former Name
TARA JANE CHAPMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
TARA JANE MICK
28 N KANAWHA ST
BUCKHANNON, WV 26201-2714
Phone number: 304-472-0528
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Mailing Address
TARA JANE MICK
2259 HACKERS CREEK RD
BUCKHANNON, WV 26201-6139
Phone number: 304-406-8475
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