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1487090718
TARA D BOURNAY
TRAVERSE CITY, MI
NPI
1487090718
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Former Name
TARA A DELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101020245)
Enumeration Date
2013-05-14
Last Update Date
2020-10-13
Business Address
TARA D BOURNAY DO
3601 W FRONT ST
TRAVERSE CITY, MI 49684-8151
Phone number: 231-946-1120
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Mailing Address
TARA D BOURNAY DO
3601 W FRONT ST
TRAVERSE CITY, MI 49684-8151
Phone number: 231-946-1120
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