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1245597095
TANNER JOHN BARLOW
VANCOUVER, WA
NPI
1245597095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2012-04-18
Last Update Date
2012-04-18
Business Address
-- TANNER JOHN BARLOW LMP
1610 C ST SUITE 103
VANCOUVER, WA 98663-3400
Phone number: 360-694-0300
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Mailing Address
-- TANNER JOHN BARLOW LMP
1610 C ST SUITE 103
VANCOUVER, WA 98663-3400
Phone number: 360-694-0300
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