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1689959504
TARA LAZURE
JOPLIN, MO
NPI
1689959504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2011031968)
Enumeration Date
2011-10-12
Last Update Date
2011-10-12
Business Address
-- TARA LAZURE
2700 E 34TH ST
JOPLIN, MO 64804-4310
Phone number: 417-781-1737
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Mailing Address
-- TARA LAZURE
2700 E 34TH ST
JOPLIN, MO 64804-4310
Phone number:
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