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1740602275
TANNER J SMITH
HENDERSON, NV
NPI
1740602275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA1494)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- TANNER J SMITH PA-C
830 CARNEGIE ST APT 623
HENDERSON, NV 89052-5734
Phone number: 435-590-2596
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Mailing Address
-- TANNER J SMITH PA-C
830 CARNEGIE ST APT 623
HENDERSON, NV 89052-5734
Phone number:
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