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1164039061
ANDREA JO TANNER
SUTTON, WV
NPI
1164039061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV 105472)
Enumeration Date
2020-09-25
Last Update Date
2022-08-31
Business Address
ANDREA JO TANNER FNP
273 SKIDMORE LN
SUTTON, WV 26601-9272
Phone number: 304-765-4400
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Mailing Address
ANDREA JO TANNER FNP
273 SKIDMORE LN
SUTTON, WV 26601-9272
Phone number: 304-765-4400
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