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1942811229
DWAYNE TATNALL
LONG BEACH, CA
NPI
1942811229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
Mr. DWAYNE TATNALL
4110 SANTA FE AVE
LONG BEACH, CA 90810-1439
Phone number: 310-847-6422
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Mailing Address
Mr. DWAYNE TATNALL
4404 W 59TH PL
LOS ANGELES, CA 90043-3427
Phone number: 323-295-8780
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