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1356876239
MATTHEW TANNER
SALT LAKE CITY, UT
NPI
1356876239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
MATTHEW TANNER
530 S WAKARA WAY
SALT LAKE CITY, UT 84108-1213
Phone number: 801-587-2162
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Mailing Address
MATTHEW TANNER
1657 24TH PL NE
ISSAQUAH, WA 98029-2638
Phone number:
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