Individual
TANYA COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
283 W AUTO MALL DR STE 4, ST GEORGE, UT 84770-2200
(435) 429-1269
Mailing address
1922 W AARON TIPPETS RD, CEDAR CITY, UT 84721-7159
(435) 429-1269
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-120697
UT
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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