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1700088747
TARA BUSCH
BELLEVILLE, IL
NPI
1700088747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070010033)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- TARA BUSCH PT
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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Mailing Address
-- TARA BUSCH PT
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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