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1225315278
TARA BURNETT
AUSTIN, TX
NPI
1225315278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3764)
Enumeration Date
2011-11-04
Last Update Date
2011-11-04
Business Address
-- TARA BURNETT MS, LAT/ATC
2012 ROBERT DEDMAN DR
AUSTIN, TX 78712-1505
Phone number: 512-471-5513
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Mailing Address
-- TARA BURNETT MS, LAT/ATC
PO BOX 7399
AUSTIN, TX 78713-7399
Phone number:
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