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1972754794
TARA DANIELLE WINGARD
PHOENIX, AZ
NPI
1972754794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L47240)
Enumeration Date
2008-10-10
Last Update Date
2008-10-10
Business Address
MISS TARA DANIELLE WINGARD LPN
4202 E CACTUS RD APT 7308
PHOENIX, AZ 85032-0616
Phone number: 870-917-7118
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Mailing Address
MISS TARA DANIELLE WINGARD LPN
4202 E CACTUS RD APT 7308
PHOENIX, AZ 85032-0616
Phone number: 870-917-7118
Copy
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