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1760636302
TARA ANDREA REISS
GREER, SC
NPI
1760636302
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Former Name
TARA ANDREA BRENNAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 1342)
Enumeration Date
2008-11-10
Last Update Date
2010-08-25
Business Address
-- TARA ANDREA REISS PA-C
3115D BRUSHY CREEK RD
GREER, SC 29650-0903
Phone number: 864-877-4221
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Mailing Address
-- TARA ANDREA REISS PA-C
3115D BRUSHY CREEK RD
GREER, SC 29650-0903
Phone number: 864-877-4221
Copy
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