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1215559596
TYARE STANDBERRY
HAMMOND, LA
NPI
1215559596
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Other Name
TYARE STANDBERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: LA 164230)
Enumeration Date
2020-05-10
Last Update Date
2020-05-10
Business Address
Mrs. TYARE STANDBERRY RDMS RVT
15790 PAUL VEGA MD DR
HAMMOND, LA 70403-1436
Phone number: 985-345-2700
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Mailing Address
Mrs. TYARE STANDBERRY RDMS RVT
1049 QUAIL RIDGE DR
MCCOMB, MS 39648-5509
Phone number: 601-810-8295
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