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1619348547
TYREL DETWEILER
SOUTHAVEN, MS
NPI
1619348547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: TN 2894)
Enumeration Date
2015-10-19
Last Update Date
2015-10-19
Business Address
Dr. TYREL DETWEILER D.C.
5740 GETWELL RD BLDG 4A
SOUTHAVEN, MS 38672-7361
Phone number: 662-524-3200
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Mailing Address
Dr. TYREL DETWEILER D.C.
463 MOCKINGBIRD LN
COLLIERVILLE, TN 38017-2213
Phone number: 319-400-9121
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