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1215697222
TARA LYNN SIESEL
DURHAM, NC
NPI
1215697222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2701)
Enumeration Date
2021-12-19
Last Update Date
2021-12-19
Business Address
TARA LYNN SIESEL ATC
110 WHITFORD DR
DURHAM, NC 27708-9982
Phone number: 207-807-6731
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Mailing Address
TARA LYNN SIESEL ATC
182 CEDAR ELM RD
DURHAM, NC 27713-7262
Phone number: 207-807-6731
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