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1134720220
TYRA N LUSK
FORT WORTH, TX
NPI
1134720220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
TYRA N LUSK
250 BENS TRL
FORT WORTH, TX 76120-7000
Phone number: 817-514-1544
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Mailing Address
TYRA N LUSK
250 BENS TRL
FORT WORTH, TX 76120-7000
Phone number: 817-514-1544
Copy
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