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1336403211
TARA MOON
STATESVILLE, NC
NPI
1336403211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2015-01302)
Enumeration Date
2012-06-26
Last Update Date
2020-09-10
Business Address
TARA MOON M.D.
1410 FERN CREEK DR
STATESVILLE, NC 28625-9376
Phone number: 704-978-2379
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Mailing Address
TARA MOON M.D.
1410 FERN CREEK DR
STATESVILLE, NC 28625-9376
Phone number: 704-978-2379
Copy
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