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1790530061
TYLER BONTRAGER
MARIETTA, GA
NPI
1790530061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-20
Last Update Date
2024-04-20
Business Address
TYLER BONTRAGER MD
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-6148
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Mailing Address
TYLER BONTRAGER MD
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-6148
Copy
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