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1760595722
NICOLE D TYRA
CHARLOTTE, NC
NPI
1760595722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 5357)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
-- NICOLE D TYRA OT
2001 VAIL AVE
CHARLOTTE, NC 28207-1219
Phone number: 704-379-5632
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Mailing Address
-- NICOLE D TYRA OT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4300
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