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Individual

DR. RACHAEL TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1808 E AZTEC AVE, GALLUP, NM 87301-4946
(505) 721-9099
Mailing address
PO BOX 1094, GALLUP, NM 87305-1094
(315) 745-9816

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1817
NM

Other

Enumeration date
09/24/2008
Last updated
03/30/2010
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