MALCOLM TANNER

SALT LAKE CITY, UT
NPI1730756495
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
MALCOLM TANNER
770 S DENVER ST
SALT LAKE CITY, UT 84111-3938
Phone number: 801-889-5176
Mailing Address
MALCOLM TANNER
447 W BEARCAT DR
SOUTH SALT LAKE, UT 84115-2519
Phone number: 284-680-1355
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