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1083011308
MICHELLE TANNER
HENDERSON, NV
NPI
1083011308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7836957-4405)
Enumeration Date
2014-12-02
Last Update Date
2015-12-10
Business Address
-- MICHELLE TANNER FNP
2380 W HORIZON RIDGE PKWY SUITE 110
HENDERSON, NV 89052-5078
Phone number: 702-823-4255
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Mailing Address
-- MICHELLE TANNER FNP
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 435-256-5177
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