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1477205300
TARA PRUNA
DAYTONA BEACH, FL
NPI
1477205300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL 14068092)
Enumeration Date
2022-01-21
Last Update Date
2022-01-23
Business Address
TARA PRUNA M.A., CCC-SLP
1219 DUNN AVE
DAYTONA BEACH, FL 32114-2405
Phone number: 386-255-4568
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Mailing Address
TARA PRUNA M.A., CCC-SLP
13620 CRYSTAL RIVER DR
ORLANDO, FL 32828-8445
Phone number: 954-825-9659
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