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1023749629
JIM TANNER
PUEBLO, CO
NPI
1023749629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
JIM TANNER
503 N MAIN ST STE 539
PUEBLO, CO 81003-3133
Phone number: 719-766-9299
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Mailing Address
JIM TANNER
503 N MAIN ST STE 539
PUEBLO, CO 81003-3133
Phone number: 719-766-9299
Copy
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