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1750007365
SHAYLON TANNER
JACKSON, TN
NPI
1750007365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN0000065644)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
SHAYLON TANNER LPN IV
295 SUMMAR DR
JACKSON, TN 38301-3905
Phone number: 731-421-6783
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Mailing Address
SHAYLON TANNER LPN IV
219 W BROAD ST
DYER, TN 38330-1403
Phone number: 731-337-8363
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