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1679660187
TARA SPENCER MOSS
ARCATA, CA
NPI
1679660187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA PA17518)
Enumeration Date
2006-10-06
Last Update Date
2017-02-10
Business Address
TARA SPENCER MOSS PAC
770 10TH STREET
ARCATA, CA 95521
Phone number: 707-826-8610
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Mailing Address
TARA SPENCER MOSS PAC
670 NINTH STREET SUITE 203
ARCATA, CA 95521
Phone number: 707-826-8633
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