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1861243677
ETHAN TANNER
LAYTON, UT
NPI
1861243677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-29
Last Update Date
2024-09-20
Business Address
ETHAN TANNER
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1845
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Mailing Address
ETHAN TANNER
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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