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1801014824
MICHAEL TANNER
CAMARILLO, CA
NPI
1801014824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- MICHAEL TANNER
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- MICHAEL TANNER
1247 PETIT AVE
VENTURA, CA 93004-2628
Phone number:
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