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Individual
MR. TANA LOUISE CORNELIUS
Active
Individual
MR. TANA LOUISE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
00025245
CA
2279G1100X
General Care Registered Respiratory Therapist
Primary
LR 00003883
WA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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