DAWN CLARISSE TANNER

PEORIA, IL
NPI1295898591
Former NameDAWN CLARISSE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-002863)
Enumeration Date2006-12-18
Last Update Date2011-07-13
Business Address
-- DAWN CLARISSE TANNER PA-C
221 NE GLEN OAK AVE
PEORIA, IL 61603-4307
Phone number: 309-672-5522
Mailing Address
-- DAWN CLARISSE TANNER PA-C
21276 NETWORK PL
CHICAGO, IL 60673-1212
Phone number:
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