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1104099159
TARA L WISE
PORTSMOUTH, NH
NPI
1104099159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-04-10
Last Update Date
2008-04-10
Business Address
-- TARA L WISE
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801-5503
Phone number: 603-431-6703
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Mailing Address
-- TARA L WISE
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801-5503
Phone number: 603-431-6703
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