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1255685632
TARA L BURKETT
SOUTHLAKE, TX
NPI
1255685632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX 109811)
Enumeration Date
2012-11-06
Last Update Date
2012-11-06
Business Address
-- TARA L BURKETT
2425 E SOUTHLAKE BLVD #100
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
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Mailing Address
-- TARA L BURKETT
2425 E SOUTHLAKE BLVD #100
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
Copy
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