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1043691520
TARA GANN
PAYSON, AZ
NPI
1043691520
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Former Name
TARA DALHAUG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ AP7879)
Enumeration Date
2015-06-10
Last Update Date
2019-09-13
Business Address
TARA GANN NP
405 W MAIN ST STE B
PAYSON, AZ 85541-5345
Phone number: 928-472-6000
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Mailing Address
TARA GANN NP
1503 W COUNTRY CLUB DR
PAYSON, AZ 85541-4611
Phone number: 928-951-2189
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