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1114632635
TANNER NELSON
SALT LAKE CITY, UT
NPI
1114632635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-01-18
Last Update Date
2023-01-18
Business Address
TANNER NELSON
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-581-2121
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Mailing Address
TANNER NELSON
1731 E 6550 S
MURRAY, UT 84121-2548
Phone number:
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