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1588147458
TYLER HARRELL
SANFORD, NC
NPI
1588147458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-07
Last Update Date
2018-12-13
Business Address
TYLER HARRELL
96 MOUNTAIN VIEW DR
SANFORD, NC 27332-1361
Phone number: 910-578-1216
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Mailing Address
TYLER HARRELL
1202 GEMINI DR
AUSTIN, TX 78758-3812
Phone number:
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