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1114529229
TANNER DEAN LEE
KLAMATH FALLS, OR
NPI
1114529229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 9914)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
TANNER DEAN LEE
2312 S 6TH ST STE B
KLAMATH FALLS, OR 97601-4340
Phone number: 541-236-2123
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Mailing Address
TANNER DEAN LEE
2312 S 6TH ST STE B
KLAMATH FALLS, OR 97601-4340
Phone number:
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