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1992361604
TANNER LUNG
EVERETT, WA
NPI
1992361604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 60939248)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
Dr. TANNER LUNG DPT
2205 WALL ST
EVERETT, WA 98201-3761
Phone number: 623-695-0537
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Mailing Address
Dr. TANNER LUNG DPT
1212 RUCKER AVE
EVERETT, WA 98201-1519
Phone number: 623-695-0537
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