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Individual

TARA LYNNE OMBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
370 S 500 E, STE 135, CLEARFIELD, UT 84015-4057
(801) 815-3443
(801) 776-4162
Mailing address
370 S 500 E, STE 135, CLEARFIELD, UT 84015-4057
(801) 815-3443
(801) 776-4162

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/13/2010
Last updated
08/13/2010
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