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1801084611
GERALD TANNER
WICHITA FALLS, TX
NPI
1801084611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2054850)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
-- GERALD TANNER PTA
1101 GRACE ST
WICHITA FALLS, TX 76301-4414
Phone number: 940-720-5120
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Mailing Address
-- GERALD TANNER PTA
1219 DANBERRY ST
BURKBURNETT, TX 76354-3121
Phone number: 940-569-2619
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