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1174367072
TANNER HIGGINS
MISSOULA, MT
NPI
1174367072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
TANNER HIGGINS
32 CAMPUS DR
MISSOULA, MT 59812-0003
Phone number: 541-591-2413
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Mailing Address
TANNER HIGGINS
2075 COOPER ST APT 734
MISSOULA, MT 59808-2034
Phone number: 541-591-2413
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