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Individual

TARA BORING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2600 LAKE RIDGE RD APT 2222, LEWISVILLE, TX 75056-4700
(214) 907-6520
Mailing address
2600 LAKE RIDGE RD APT 2222, LEWISVILLE, TX 75056-4700
(214) 907-6520

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
01/09/2020
Last updated
01/09/2020
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