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1104121680
LEAH M TANNER
SAN LUIS OBISPO, CA
NPI
1104121680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: CA 919327)
Enumeration Date
2011-01-14
Last Update Date
2014-11-10
Business Address
-- LEAH M TANNER RD
84 SANTA ROSA ST SUITE A
SAN LUIS OBISPO, CA 93405-1812
Phone number: 805-548-8585
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Mailing Address
-- LEAH M TANNER RD
84 SANTA ROSA ST SUITE A
SAN LUIS OBISPO, CA 93405-1812
Phone number: 805-548-8585
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