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1316911035
MARY AMATO TYSON
DURHAM, NC
NPI
1316911035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 9400191)
Enumeration Date
2006-02-17
Last Update Date
2017-10-26
Business Address
MARY AMATO TYSON M.D.
3643 N ROXBORO ST
DURHAM, NC 27704-2702
Phone number: 919-470-5345
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Mailing Address
MARY AMATO TYSON M.D.
PO BOX 15386
DURHAM, NC 27704-0386
Phone number: 919-477-5152
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