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1639902679
TYLER PEMBERTON
PHOENIX, AZ
NPI
1639902679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: AZ 313307)
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
TYLER PEMBERTON PMHNP
1035 E JEFFERSON ST
PHOENIX, AZ 85034-2295
Phone number: 602-251-0650
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Mailing Address
TYLER PEMBERTON PMHNP
5226 S DREXEL
MESA, AZ 85212-8511
Phone number: 480-437-0533
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