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1013610195
ALEXANDER TYLER PROUTY
COLUMBUS, OH
NPI
1013610195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
ALEXANDER TYLER PROUTY DO
5109 W BROAD ST
COLUMBUS, OH 43228-1648
Phone number: 614-544-1976
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Mailing Address
ALEXANDER TYLER PROUTY DO
5109 W BROAD ST
COLUMBUS, OH 43228-1648
Phone number: 614-544-1976
Copy
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