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Individual
DANIEL D. TANNER
Active
Individual
DANIEL D. TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004120A
IN
Other
Enumeration date
09/06/2012
Last updated
07/26/2017
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