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1396812244
TARA M. FUSCO
PANORAMA CITY, CA
NPI
1396812244
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Other Name
TARA M MODY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G80228)
Enumeration Date
2006-11-29
Last Update Date
2021-12-14
Business Address
TARA M. FUSCO MD
8120 WOODMAN
PANORAMA CITY, CA 91402-5423
Phone number: 818-815-5193
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Mailing Address
TARA M. FUSCO MD
8120 WOODMAN AVE
PANORAMA CITY, CA 91402
Phone number: 818-815-5193
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