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1851073969
TANNER PROSPER YALLUP
SAINT HELENS, OR
NPI
1851073969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
TANNER PROSPER YALLUP
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051-6229
Phone number: 503-396-5322
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Mailing Address
TANNER PROSPER YALLUP
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051-6229
Phone number: 503-396-5322
Copy
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