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1043702004
WILLIAM TANNER
HOUMA, LA
NPI
1043702004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
WILLIAM TANNER
427 W TUNNEL BLVD
HOUMA, LA 70360-5591
Phone number: 985-746-5681
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Mailing Address
WILLIAM TANNER
427 W TUNNEL BLVD # A
HOUMA, LA 70360-5591
Phone number: 985-746-5681
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