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1841872744
IAN TYDA WRIGGLESWORTH
FORT LIBERTY, NC
NPI
1841872744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2021-04-21
Last Update Date
2024-10-18
Business Address
IAN TYDA WRIGGLESWORTH PA-C
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8922
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Mailing Address
IAN TYDA WRIGGLESWORTH PA-C
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8922
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