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1336864354
TANNER BOS
BUIES CREEK, NC
NPI
1336864354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-4887)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
TANNER BOS
558 WADE STEWART ROAD
BUIES CREEK, NC 27506
Phone number: 641-224-2226
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Mailing Address
TANNER BOS
1305 S 10TH ST
LILLINGTON, NC 27546-5613
Phone number:
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