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1134447519
ROSS TYLER
GRANITE CITY, IL
NPI
1134447519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038011680)
Enumeration Date
2010-05-11
Last Update Date
2012-07-10
Business Address
-- ROSS TYLER DC
3986 MARYVILLE RD
GRANITE CITY, IL 62040-4191
Phone number: 618-797-0618
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Mailing Address
-- ROSS TYLER DC
PO BOX 505118
ST LOUIS, MO 63150-5118
Phone number: 618-692-9640
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