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1881932390
GORDON R TANNER
GAINESVILLE, FL
NPI
1881932390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: FL MA12950)
Enumeration Date
2013-01-18
Last Update Date
2013-01-18
Business Address
Mr. GORDON R TANNER
6421 SW 13TH ST
GAINESVILLE, FL 32608-5419
Phone number: 352-378-7891
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Mailing Address
Mr. GORDON R TANNER
2420 NE 53RD TER
GAINESVILLE, FL 32609-2623
Phone number: 352-381-3506
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