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1144924978
TANNER LUKE
PLAINVIEW, NY
NPI
1144924978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
TANNER LUKE DPM
888 OLD COUNTRY RD
PLAINVIEW, NY 11803-4914
Phone number: 516-719-2543
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Mailing Address
TANNER LUKE DPM
888 OLD COUNTRY RD
PLAINVIEW, NY 11803-4914
Phone number:
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