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1043527609
TARA GWYNN
SHELBYVILLE, KY
NPI
1043527609
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Former Name
TARA ALLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 10-025)
Enumeration Date
2010-09-02
Last Update Date
2017-04-12
Business Address
-- TARA GWYNN
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-633-1007
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Mailing Address
-- TARA GWYNN
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-633-1007
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