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1649806175
CARSON TYLER HAUSMANN
TALLAHASSEE, FL
NPI
1649806175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11007726)
Enumeration Date
2020-03-16
Last Update Date
2020-06-23
Business Address
CARSON TYLER HAUSMANN
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-4499
Phone number: 561-308-8620
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Mailing Address
CARSON TYLER HAUSMANN
1814 SEAY CT
TALLAHASSEE, FL 32303-3268
Phone number: 561-308-8620
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