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1285142703
REGINALD GIRARD TANNER
FORT WORTH, TX
NPI
1285142703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP136226)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
REGINALD GIRARD TANNER CRNA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1417
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Mailing Address
REGINALD GIRARD TANNER CRNA
3701 BLUE FOREST DR
ARLINGTON, TX 76001-4834
Phone number: 216-469-2198
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