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Individual

MICHELLE TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRT

Contact information

Practice address
962 N 560 W, OREM, UT 84057-3070
(801) 960-5298
Mailing address
962 N 560 W, OREM, UT 84057-3070
(801) 960-5298

Taxonomy

Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
753113905701
UT

Other

Enumeration date
11/03/2015
Last updated
11/03/2015
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