TANNER LEE RISNER

DYESS AFB, TX
NPI1487214649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
(Licence: TX  1487214649)
Enumeration Date2019-06-19
Last Update Date2026-06-02
Business Address
TANNER LEE RISNER
697 LOUISIANA RD
DYESS AFB, TX 79607-1141
Phone number: 325-696-6600
Mailing Address
TANNER LEE RISNER
2910 B ST APT 12
ROSAMOND, CA 93560-7862
Phone number: 567-674-9135
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