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1215969167
TARA ANN CANCELLARO
GREENVILLE, SC
NPI
1215969167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: SC 23347)
Enumeration Date
2006-07-07
Last Update Date
2021-05-23
Business Address
TARA ANN CANCELLARO MD
29 N ACADEMY ST
GREENVILLE, SC 29601-2629
Phone number: 864-331-1300
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Mailing Address
TARA ANN CANCELLARO MD
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8617
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