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1154055440
TANNER THOMAS LAFOLLETTE
LOS ANGELES, CA
NPI
1154055440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 302354)
Enumeration Date
2022-07-12
Last Update Date
2022-08-29
Business Address
Dr. TANNER THOMAS LAFOLLETTE DPT
1640 MARENGO ST BLDG SUITE102
LOS ANGELES, CA 90033-1036
Phone number: 323-865-1200
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Mailing Address
Dr. TANNER THOMAS LAFOLLETTE DPT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-1200
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