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1982627956
TARA REID
LONG BEACH, CA
NPI
1982627956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: CA 20A6919)
Enumeration Date
2006-07-25
Last Update Date
2010-01-29
Business Address
-- TARA REID D.O.
2255 N LAKEWOOD BLVD
LONG BEACH, CA 90815-2507
Phone number: 562-498-8000
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Mailing Address
-- TARA REID D.O.
2255 N LAKEWOOD BLVD
LONG BEACH, CA 90815-2507
Phone number: 562-498-8000
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