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1346994001
TANNER WOOLF
CALDWELL, ID
NPI
1346994001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-02-10
Last Update Date
2023-04-04
Business Address
TANNER WOOLF PA
315 E ELM ST STE 350
CALDWELL, ID 83605-4881
Phone number: 208-459-0028
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Mailing Address
TANNER WOOLF PA
PO BOX 742941
ATLANTA, GA 30374-2941
Phone number: 208-649-5015
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