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1083696868
TARA DENISE BUSH
SMITHFIELD, NC
NPI
1083696868
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Former Name
TARA DENISE NORMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 9600390)
Enumeration Date
2005-11-16
Last Update Date
2008-09-29
Business Address
Mrs. TARA DENISE BUSH N.P.
707 LASSITER ST
SMITHFIELD, NC 27577-4613
Phone number: 919-209-9856
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Mailing Address
Mrs. TARA DENISE BUSH N.P.
707 LASSITER ST
SMITHFIELD, NC 27577-4613
Phone number: 919-209-9856
Copy
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