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1497370456
TANNER WINGER
LOGAN, UT
NPI
1497370456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: UT 12485839-1206)
Enumeration Date
2020-06-15
Last Update Date
2021-10-13
Business Address
TANNER WINGER
2310 N 400 E STE A
LOGAN, UT 84341-1796
Phone number: 435-787-2000
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Mailing Address
TANNER WINGER
PO BOX 30015 DEPT 214
SALT LAKE CITY, UT 84130-0015
Phone number: 435-787-2000
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