TARA LYNN BLANK

PORT HURON, MI
NPI1841266053
Former NameTARA LYNN KIRKBRIDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003675)
Enumeration Date2006-02-27
Last Update Date2010-04-09
Business Address
-- TARA LYNN BLANK PA-C
1231 PINE GROVE AVE SUITE 2A
PORT HURON, MI 48060-3500
Phone number: 810-982-8742
Mailing Address
-- TARA LYNN BLANK PA-C
3050 COMMERCE DR SUITE B
FORT GRATIOT, MI 48059-3819
Phone number: 810-385-4441
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