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1831234020
SARAH TACKETT
FRESNO, CA
NPI
1831234020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- SARAH TACKETT ATC
1620 E BULLDOG LN MS OF87
FRESNO, CA 93740-0001
Phone number: 559-278-4170
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Mailing Address
-- SARAH TACKETT ATC
3715 W BARSTOW AVE 238
FRESNO, CA 93711-6664
Phone number: 918-231-0511
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