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1265980528
TARA MICHELLE WOOD
ANCHORAGE, AK
NPI
1265980528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 126939)
Enumeration Date
2016-09-15
Last Update Date
2018-09-13
Business Address
TARA MICHELLE WOOD
4100 LAKE OTIS PKWY STE 216
ANCHORAGE, AK 99508
Phone number: 907-563-2873
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Mailing Address
TARA MICHELLE WOOD
4100 LAKE OTIS PKWY STE 216
ANCHORAGE, AK 99508-5230
Phone number: 907-563-2873
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