TARA RAE ATHA

SPRINGFIELD, OH
NPI1609910132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  NP-09226)
Enumeration Date2007-02-17
Last Update Date2010-01-27
Business Address
-- TARA RAE ATHA MS, NP
2100 EMMANUEL WAY SUITE B
SPRINGFIELD, OH 45502-7217
Phone number: 937-398-0020
Mailing Address
-- TARA RAE ATHA MS, NP
2100 EMMANUEL WAY STE B
SPRINGFIELD, OH 45502-7217
Phone number: 937-398-0020
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