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1629517016
TARA BAIN
CANTON, MS
NPI
1629517016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS 3325)
Enumeration Date
2017-02-17
Last Update Date
2017-02-17
Business Address
-- TARA BAIN
1421A E PEACE ST
CANTON, MS 39046-4938
Phone number: 601-855-5760
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Mailing Address
-- TARA BAIN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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