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1467083063
TARA LYNNE WEAVER
PHILADELPHIA, PA
NPI
1467083063
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Former Name
TARA LYNNE MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP021372)
Enumeration Date
2020-02-01
Last Update Date
2020-02-01
Business Address
Mrs. TARA LYNNE WEAVER CRNP
800 WALNUT ST FL 18
PHILADELPHIA, PA 19107-5176
Phone number: 215-316-5151
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Mailing Address
Mrs. TARA LYNNE WEAVER CRNP
226 MCCLELLAN ST
PHILADELPHIA, PA 19148-1919
Phone number: 215-593-0205
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