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1689233785
TARA ANNE CONDON
LOUISVILLE, KY
NPI
1689233785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: AZ AT-008909)
Enumeration Date
2019-06-12
Last Update Date
2023-06-16
Business Address
Miss TARA ANNE CONDON MA, AT, ATC
801 EDITH RD
LOUISVILLE, KY 40206-2280
Phone number: 845-521-4398
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Mailing Address
Miss TARA ANNE CONDON MA, AT, ATC
9522 W HIGHLAND AVE
PHOENIX, AZ 85037-1075
Phone number:
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