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1487076402
BENJAMIN TANNER
LAS VEGAS, NV
NPI
1487076402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-01-09
Last Update Date
2014-01-09
Business Address
-- BENJAMIN TANNER PA-C
901 RANCHO LN STE 135
LAS VEGAS, NV 89106-3826
Phone number: 702-383-1958
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Mailing Address
-- BENJAMIN TANNER PA-C
901 RANCHO LN STE 135
LAS VEGAS, NV 89106-3826
Phone number: 702-383-1958
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