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1740478197
CAROL TANNER-ST. JAMES
DAYTONA BEACH, FL
NPI
1740478197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME0047427)
Enumeration Date
2007-10-11
Last Update Date
2011-04-13
Business Address
MRS. CAROL TANNER-ST. JAMES M.D.
1890 LPGA BLVD 170
DAYTONA BEACH, FL 32117-7130
Phone number: 386-274-3354
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Mailing Address
MRS. CAROL TANNER-ST. JAMES M.D.
1890 LPGA BLVD 170
DAYTONA BEACH, FL 32117-7130
Phone number: 386-274-3354
Copy
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