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1184104556
MICHAEL E TANNER
LOS ANGELES, CA
NPI
1184104556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
Mr. MICHAEL E TANNER
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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Mailing Address
Mr. MICHAEL E TANNER
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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