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1104471523
TANNER BENNETT SMITH
RANCHO SANTA MARGARITA, CA
NPI
1104471523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT296919)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
TANNER BENNETT SMITH PT, DPT
23121 ANTONIO PKWY STE 100
RANCHO SANTA MARGARITA, CA 92688-2660
Phone number: 949-713-6445
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Mailing Address
TANNER BENNETT SMITH PT, DPT
23121 ANTONIO PKWY STE 100
RANCHO SANTA MARGARITA, CA 92688-2660
Phone number: 949-713-6445
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