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1134400310
TARA POUSLAND VILK
BRIGHTON, MA
NPI
1134400310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-09-01
Last Update Date
2013-08-22
Business Address
TARA POUSLAND VILK M.A.
12 HARRIET ST
BRIGHTON, MA 02135-2119
Phone number: 774-274-8873
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Mailing Address
TARA POUSLAND VILK M.A.
6 BELLVISTA RD APARTMENT 6
BRIGHTON, MA 02135-7612
Phone number: 774-274-8873
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