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1144646209
TYLER J. ELAM
GRAYSON, KY
NPI
1144646209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 04118)
Enumeration Date
2014-03-13
Last Update Date
2022-07-21
Business Address
TYLER J. ELAM D.O.
645 INTERSTATE DR
GRAYSON, KY 41143-1704
Phone number: 606-474-0669
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Mailing Address
TYLER J. ELAM D.O.
PO BOX 550
VANCEBURG, KY 41179-0550
Phone number: 606-202-7359
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