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1134118466
TARA LYNN RHEUBOTTOM
BATON ROUGE, LA
NPI
1134118466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA PA.A10517)
Enumeration Date
2005-10-19
Last Update Date
2009-03-31
Business Address
Miss TARA LYNN RHEUBOTTOM PA
10154 JEFFERSON HWY
BATON ROUGE, LA 70809-2725
Phone number: 225-927-5663
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Mailing Address
Miss TARA LYNN RHEUBOTTOM PA
10154 JEFFERSON HWY
BATON ROUGE, LA 70809-2725
Phone number: 225-927-5663
Copy
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