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1760981997
TARA L GORDON
AUSTIN, TX
NPI
1760981997
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Former Name
TARA L CARROLL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX f12170077)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
Mrs. TARA L GORDON APRN, FNP-BC
12403 ALTAMIRA ST
AUSTIN, TX 78748-4038
Phone number: 419-460-2476
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Mailing Address
Mrs. TARA L GORDON APRN, FNP-BC
12403 ALTAMIRA ST
AUSTIN, TX 78748-4038
Phone number: 419-460-2476
Copy
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