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1841662442
TARA NICOLE MCCANN
LOUISVILLE, KY
NPI
1841662442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.10283)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- TARA NICOLE MCCANN
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
-- TARA NICOLE MCCANN
1013 PARNELL DR
XENIA, OH 45385-2451
Phone number: 937-572-8502
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