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1982906111
TARA DENISE JOHNSON
PHOENIX, AZ
NPI
1982906111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: AZ 724089)
Enumeration Date
2010-11-19
Last Update Date
2010-11-19
Business Address
-- TARA DENISE JOHNSON ba
1749 E FREMONT RD
PHOENIX, AZ 85042-5740
Phone number: 602-275-9503
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Mailing Address
-- TARA DENISE JOHNSON ba
1749 E FREMONT RD
PHOENIX, AZ 85042-5740
Phone number: 602-275-9503
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