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1093890279
TARA LEA LONG
AIKEN, SC
NPI
1093890279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 4043)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Mrs. TARA LEA LONG P.T.
690 MEDICAL PARK DR
AIKEN, SC 29801-6348
Phone number: 803-648-8344
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Mailing Address
Mrs. TARA LEA LONG P.T.
209 LONGLEAF CT
AIKEN, SC 29803-5767
Phone number: 803-641-1869
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