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Individual

TANNER TRUESDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 832-4891
Mailing address
935 HIGHLAND DR, LAWRENCE, KS 66044-4519

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-112362
KS

Other

Enumeration date
09/23/2024
Last updated
09/23/2024
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