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1609649250
TANYA SHYLO CARSON
EAGLE, ID
NPI
1609649250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 7879)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
TANYA SHYLO CARSON PT, DPT
2411 E RIVERSIDE DR APT R304
EAGLE, ID 83616-7579
Phone number: 620-331-7009
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Mailing Address
TANYA SHYLO CARSON PT, DPT
2411 E RIVERSIDE DR APT R304
EAGLE, ID 83616-7579
Phone number: 620-331-7009
Copy
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