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1528483856
TARA WEAVER
INDIANAPOLIS, IN
NPI
1528483856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71004802A)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- TARA WEAVER
9550 ALLISONVILLE RD
INDIANAPOLIS, IN 46250-1201
Phone number: 317-842-4458
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Mailing Address
-- TARA WEAVER
9440 TANHURST DR
INDIANAPOLIS, IN 46250-4151
Phone number:
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