TARA SHANNON CONDREY

JACKSONVILLE, FL
NPI1083871693
Other NameTARA WALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9104580)
Enumeration Date2008-05-21
Last Update Date2015-03-13
Business Address
-- TARA SHANNON CONDREY PA
11512 LAKE MEAD AVE SUITE 531
JACKSONVILLE, FL 32256-9680
Phone number: 904-419-2054
Mailing Address
-- TARA SHANNON CONDREY PA
11512 LAKE MEAD AVE SUITE 531
JACKSONVILLE, FL 32256-9680
Phone number: 904-419-2054
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