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1245675420
TARA MICHELLE KING
INDEPENDENCE, MO
NPI
1245675420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 1999141155)
Enumeration Date
2013-05-01
Last Update Date
2013-05-02
Business Address
Mrs. TARA MICHELLE KING
19213 E 5TH STREET CT N
INDEPENDENCE, MO 64056-2211
Phone number: 816-489-6332
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Mailing Address
Mrs. TARA MICHELLE KING
19213 E 5TH STREET CT N
INDEPENDENCE, MO 64056-2211
Phone number: 816-489-6332
Copy
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