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1912456062
TARA TAIT
COON RAPIDS, MN
NPI
1912456062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-09-30
Last Update Date
2019-01-18
Business Address
TARA TAIT PA-C
3833 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433-2599
Phone number: 763-767-3350
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Mailing Address
TARA TAIT PA-C
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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