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1174945422
TARA SOPRANO
PHILADELPHIA, PA
NPI
1174945422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT004675)
Enumeration Date
2014-01-06
Last Update Date
2014-01-06
Business Address
-- TARA SOPRANO ATC, MS
4050 S 26TH ST
PHILADELPHIA, PA 19112-1613
Phone number: 484-383-4495
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Mailing Address
-- TARA SOPRANO ATC, MS
1910 E PASSYUNK AVE
PHILADELPHIA, PA 19148-2221
Phone number: 908-415-5705
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