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1194863498
THARA TENNEY
PRESCOTT, AZ
NPI
1194863498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-02-01
Last Update Date
2010-09-21
Business Address
Mrs. THARA TENNEY
755 SUNRISE BLVD
PRESCOTT, AZ 86301-5877
Phone number: 928-533-7869
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Mailing Address
Mrs. THARA TENNEY
18762 N COMET TRL
MARICOPA, AZ 85138-5808
Phone number: 928-533-7869
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