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1093121295
TANNER B JUDD
MEDFORD, OR
NPI
1093121295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60608)
Enumeration Date
2014-07-08
Last Update Date
2016-02-17
Business Address
-- TANNER B JUDD DPT
618 CRATER LAKE AVE
MEDFORD, OR 97504-6523
Phone number: 541-991-4271
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Mailing Address
-- TANNER B JUDD DPT
618 CRATER LAKE AVE
MEDFORD, OR 97504-6523
Phone number: 541-991-4271
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