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1629470992
TANNER KIMBER
BLOOMINGTON, MN
NPI
1629470992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: MN 2000017447)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
-- TANNER KIMBER ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-806-5693
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Mailing Address
-- TANNER KIMBER ATC
10523 FIRST TIMBERLANE DR
NORTHFIELD, MN 55057-4466
Phone number: 952-201-8978
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