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1144945304
TYRA TATUM
DALLAS, TX
NPI
1144945304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 42743)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
TYRA TATUM
6466 RIDGECREST RD APT 2126
DALLAS, TX 75231-6979
Phone number: 469-435-1094
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Mailing Address
TYRA TATUM
PO BOX 1049
ORE CITY, TX 75683-1049
Phone number: 469-435-1094
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