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1558045583
MARY TANNER
OREM, UT
NPI
1558045583
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Former Name
MARY MITTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 10834924-4405)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
MARY TANNER NP
720 N 530 E
OREM, UT 84097-4104
Phone number: 385-498-7506
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Mailing Address
MARY TANNER NP
1109 N TEMPLE DR
PROVO, UT 84604-1704
Phone number:
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