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1669669412
TARA JACKSON LEMOINE
ROANOKE, VA
NPI
1669669412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0102208200)
Enumeration Date
2007-09-26
Last Update Date
2023-10-19
Business Address
TARA JACKSON LEMOINE DO
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-224-4635
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Mailing Address
TARA JACKSON LEMOINE DO
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number:
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