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Individual

MRS. TARA ALEXIS ASHBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
1731 NW 6TH ST, SUITE A1, GAINESVILLE, FL 32609-8554
(352) 264-8152
(352) 375-6402
Mailing address
1731 NW 6TH ST, SUITE A1, GAINESVILLE, FL 32609-8554
(352) 264-8152
(352) 375-6402

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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