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1063070357
TANNER JAMES VICK
SOUTH HUTCHINSON, KS
NPI
1063070357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
TANNER JAMES VICK ATC
404 S ADAMS ST
SOUTH HUTCHINSON, KS 67505-1950
Phone number: 620-921-1307
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Mailing Address
TANNER JAMES VICK ATC
404 S ADAMS ST
SOUTH HUTCHINSON, KS 67505-1950
Phone number:
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