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1811974470
JAMES R TANNER
LAFAYETTE, IN
NPI
1811974470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18001473)
Enumeration Date
2005-12-27
Last Update Date
2007-07-08
Business Address
-- JAMES R TANNER O.D.
3829 UNION ST
LAFAYETTE, IN 47905-4454
Phone number: 765-447-4951
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Mailing Address
-- JAMES R TANNER O.D.
3829 UNION ST
LAFAYETTE, IN 47905-4454
Phone number: 765-447-4951
Copy
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