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1508304429
TANNER CANDELORE
SAN DIEGO, CA
NPI
1508304429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 18655)
Enumeration Date
2017-02-11
Last Update Date
2021-07-19
Business Address
Dr. TANNER CANDELORE D.O.
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-4701
Phone number: 858-552-8585
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Mailing Address
Dr. TANNER CANDELORE D.O.
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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