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1336570613
TANNER SMITH
SALT LAKE CITY, UT
NPI
1336570613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7654256-4405)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
-- TANNER SMITH FNP-C
50 N MEDICAL DR RM P4400
SALT LAKE CITY, UT 84132-0001
Phone number: 801-587-9733
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Mailing Address
-- TANNER SMITH FNP-C
50 N MEDICAL DR RM P4400
SALT LAKE CITY, UT 84132-0001
Phone number: 801-587-9733
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