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1700136868
TARA E BAGNE
HUDSON, WI
NPI
1700136868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: MI 5501015984)
Enumeration Date
2012-09-17
Last Update Date
2019-11-26
Business Address
TARA E BAGNE DPT
742 STERBENZ DR
HUDSON, WI 54016-8327
Phone number: 715-386-2128
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Mailing Address
TARA E BAGNE DPT
8077 155TH LN NW
RAMSEY, MN 55303-3888
Phone number: 715-821-0684
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