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1477063964
TARA LYNN KISER
RANTOUL, IL
NPI
1477063964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146009136)
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
TARA LYNN KISER
650 N MAPLEWOOD DR
RANTOUL, IL 61866-1714
Phone number: 217-892-2131
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Mailing Address
TARA LYNN KISER
1315 W RIDGE LN
CHAMPAIGN, IL 61822-2207
Phone number: 217-621-3773
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