TANNER CAIN LONG

MOSES LAKE, WA
NPI1487112967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2019-03-04
Last Update Date2019-03-04
Business Address
TANNER CAIN LONG
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
Mailing Address
TANNER CAIN LONG
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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