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1093301996
TARA HOLCOMB
DEBARY, FL
NPI
1093301996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA30624)
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
TARA HOLCOMB
316 ALEMANDER AVE
DEBARY, FL 32713-3602
Phone number: 386-589-1640
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Mailing Address
TARA HOLCOMB
316 ALEMANDER AVE
DEBARY, FL 32713-3602
Phone number: 386-589-1640
Copy
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