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1164567764
TARA LEE HOLM
MINNEAPOLIS, MN
NPI
1164567764
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Former Name
TARA LEE GENGENBACH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MN 47674)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- TARA LEE HOLM M.D.
420 DELAWARE ST SE MMC 292
MINNEAPOLIS, MN 55455-0341
Phone number: 612-626-5589
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Mailing Address
-- TARA LEE HOLM M.D.
420 DELAWARE ST SE MMC 292
MINNEAPOLIS, MN 55455-0341
Phone number:
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