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1376327098
TYLER DAVID WIZA
CHARLOTTE, NC
NPI
1376327098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13668)
Enumeration Date
2023-08-23
Last Update Date
2023-11-14
Business Address
TYLER DAVID WIZA
9101 MONROE RD STE 155
CHARLOTTE, NC 28270-2467
Phone number: 704-384-1260
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Mailing Address
TYLER DAVID WIZA
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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