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1902815426
VAN E. TANNER
DURHAM, NC
NPI
1902815426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 103093)
Enumeration Date
2006-08-05
Last Update Date
2015-07-08
Business Address
-- VAN E. TANNER P.A.
4411 BEN FRANKLIN BLVD.
DURHAM, NC 27704-2147
Phone number: 919-477-0047
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Mailing Address
-- VAN E. TANNER P.A.
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 919-477-6900
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