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1730197245
DUANE LEE TANNER
MIDVALE, UT
NPI
1730197245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 1130919934)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Dr. DUANE LEE TANNER O.D.
914 FORT UNION BLVD
MIDVALE, UT 84047-1714
Phone number: 801-561-4282
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Mailing Address
Dr. DUANE LEE TANNER O.D.
914 FORT UNION BLVD
MIDVALE, UT 84047-1714
Phone number: 801-561-4282
Copy
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