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1275143307
MADELINE TANNER
TYLER, TX
NPI
1275143307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2156467)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
MADELINE TANNER
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3714
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Mailing Address
MADELINE TANNER
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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