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1649678681
TARA JOHNSON
RAPID CITY, SD
NPI
1649678681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SD 545-prov)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
-- TARA JOHNSON
1774 CENTRE ST
RAPID CITY, SD 57703-4029
Phone number: 605-863-1833
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Mailing Address
-- TARA JOHNSON
1774 CENTRE ST
RAPID CITY, SD 57703-4029
Phone number: 605-863-1833
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