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1902003122
TRACIE CAROL TARTER
SOMERSET, KY
NPI
1902003122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY AO1119)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
MRS. TRACIE CAROL TARTER P.T.A.
200 NORFLEET DR
SOMERSET, KY 42501-1952
Phone number: 606-678-5104
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Mailing Address
MRS. TRACIE CAROL TARTER P.T.A.
512 HIDDEN LOOP DR
SOMERSET, KY 42503-9610
Phone number: 606-678-8069
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