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1154380129
TARA J CAUDILL-DEATON
MADISON HEIGHTS, MI
NPI
1154380129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301080294)
Enumeration Date
2006-03-20
Last Update Date
2008-03-06
Business Address
-- TARA J CAUDILL-DEATON
1200 W 12 MILE RD
MADISON HEIGHTS, MI 48071-4439
Phone number: 248-543-0600
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Mailing Address
-- TARA J CAUDILL-DEATON
1200 W 12 MILE ROAD
MADISON HEIGHTS, MI 48071-6712
Phone number: 248-543-0600
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