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1184936932
JANE THUESON TANNER
SALT LAKE CITY, UT
NPI
1184936932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 6205192-4405)
Enumeration Date
2010-07-09
Last Update Date
2010-07-09
Business Address
-- JANE THUESON TANNER APRN
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-721-8024
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Mailing Address
-- JANE THUESON TANNER APRN
1230 CANYON CREST DR
BOUNTIFUL, UT 84010-2008
Phone number: 801-721-8024
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