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1851940449
TARA BASILE
LAWRENCEVILLE, GA
NPI
1851940449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014320)
Enumeration Date
2019-09-06
Last Update Date
2019-09-06
Business Address
TARA BASILE
4825 SUGARLOAF PKWY STE C
LAWRENCEVILLE, GA 30044-8800
Phone number: 678-985-0238
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Mailing Address
TARA BASILE
1200 CORPORATE DR STE 400
BIRMINGHAM, AL 35242-5424
Phone number:
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