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1083774061
JUDITH F. TANNER
BALTIMORE, MD
NPI
1083774061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MD R064033)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- JUDITH F. TANNER CRNP
827 LINDEN AVE
BALTIMORE, MD 21201-4606
Phone number: 410-225-8000
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Mailing Address
-- JUDITH F. TANNER CRNP
PO BOX 64522
BALTIMORE, MD 21264-4522
Phone number: 410-225-8000
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