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1518691369
TANNER CHILDERS
CROSS LANES, WV
NPI
1518691369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
TANNER CHILDERS
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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Mailing Address
TANNER CHILDERS
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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