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1487881009
TARA M JAIN
SPRINGFIELD, IL
NPI
1487881009
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Former Name
TARA N MEHTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2009-06-22
Last Update Date
2020-05-22
Business Address
TARA M JAIN PA
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
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Mailing Address
TARA M JAIN PA
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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