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Individual

TARA NEWCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CGC

Contact information

Practice address
701 GATEWAY BLVD STE 380, SOUTH SAN FRANCISCO, CA 94080-7420
(877) 688-0992
Mailing address
143 N 32ND ST, ASHLAND, NE 68003-1063
(605) 661-5708

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
219
NE
170300000X
Genetic Counselor (M.S.)
Primary
7772527-3601
UT
170300000X
Genetic Counselor (M.S.)
GC001294
CA

Other

Enumeration date
11/15/2010
Last updated
10/02/2020
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