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1841868676
DIANA JUNE TANNER
DOUGLAS, GA
NPI
1841868676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN225362)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
Mrs. DIANA JUNE TANNER
2007 OCILLA RD
DOUGLAS, GA 31533-2229
Phone number: 912-384-0162
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Mailing Address
Mrs. DIANA JUNE TANNER
2007 OCILLA RD
DOUGLAS, GA 31533-2229
Phone number: 912-384-0162
Copy
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