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1992010003
TARA NICOLE LONG
CLARKSVILLE, TN
NPI
1992010003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 9851)
Enumeration Date
2010-08-12
Last Update Date
2023-10-31
Business Address
MISS TARA NICOLE LONG PT
141 HILLCREST DR
CLARKSVILLE, TN 37043-5088
Phone number: 931-552-4340
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Mailing Address
MISS TARA NICOLE LONG PT
PO BOX 306556
NASHVILLE, TN 37230-6556
Phone number: 615-329-2294
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