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1437575990
TARA D KING
JACKSON, MS
NPI
1437575990
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Other Name
TARA DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT5382)
Enumeration Date
2014-03-07
Last Update Date
2014-03-07
Business Address
-- TARA D KING
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-949-9106
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Mailing Address
-- TARA D KING
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-949-9106
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