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1821289984
NATHAN M TANNER
JACKSONVILLE, OR
NPI
1821289984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D8947)
Enumeration Date
2007-08-05
Last Update Date
2016-03-29
Business Address
Dr. NATHAN M TANNER DMD
725 N 5TH ST STE 101
JACKSONVILLE, OR 97530
Phone number: 541-862-1848
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Mailing Address
Dr. NATHAN M TANNER DMD
2288 WILLIAMS HWY
GRANTS PASS, OR 97527
Phone number: 541-862-1848
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