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1588037329
TANNER LEE UNDERDAHL
SEATTLE, WA
NPI
1588037329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH60594266)
Enumeration Date
2015-11-02
Last Update Date
2016-01-06
Business Address
-- TANNER LEE UNDERDAHL
100 WALL ST
SEATTLE, WA 98121-1423
Phone number: 651-247-0524
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Mailing Address
-- TANNER LEE UNDERDAHL
100 WALL ST
SEATTLE, WA 98121-1423
Phone number: 651-247-0524
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