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1164815429
TARA BRANCH
MADISON, IN
NPI
1164815429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IN 1491618)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
-- TARA BRANCH
701 ELM ST
MADISON, IN 47250-3316
Phone number: 812-265-3448
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Mailing Address
-- TARA BRANCH
701 ELM ST
MADISON, IN 47250-3316
Phone number: 812-265-3448
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