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1346206331
ANITA L TANNER
BETHANY, OK
NPI
1346206331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK PA693)
Enumeration Date
2006-04-26
Last Update Date
2020-02-10
Business Address
Mrs. ANITA L TANNER PA
6820 NW 23RD ST
BETHANY, OK 73008
Phone number: 405-495-0070
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Mailing Address
Mrs. ANITA L TANNER PA
2801 PARKLAWN DR STE 100
MIDWEST CITY, OK 73110-4224
Phone number: 405-495-0070
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