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1386750131
VIVIAN TANNER
ROCKY HILL, CT
NPI
1386750131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CT 003352)
Enumeration Date
2006-08-22
Last Update Date
2010-07-15
Business Address
VIVIAN TANNER APRN
323 CROMWELL AVE
ROCKY HILL, CT 06067-1801
Phone number: 866-389-2727
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Mailing Address
VIVIAN TANNER APRN
53 SOUTHWIND LN
MILFORD, CT 06460-7552
Phone number: 203-283-5983
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