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1649806704
TARA SHIELDS
MESA, AZ
NPI
1649806704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 434368)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
TARA SHIELDS
1425 S LINDSAY RD UNIT 36
MESA, AZ 85204-6233
Phone number: 480-282-0320
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Mailing Address
TARA SHIELDS
1603 E ELMWOOD ST
MESA, AZ 85203-5810
Phone number:
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