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1558046623
TANNER SAMUEL CANADAY
MEDFORD, OR
NPI
1558046623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: OR 64960)
Enumeration Date
2023-06-16
Last Update Date
2023-06-16
Business Address
TANNER SAMUEL CANADAY PT, DPT
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5686
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Mailing Address
TANNER SAMUEL CANADAY PT, DPT
1334 REDDY AVE
MEDFORD, OR 97504-7056
Phone number: 541-290-7073
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