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1891991204
TERESA TYRA
LONDON, KY
NPI
1891991204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A00638)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
Mrs. TERESA TYRA
740 E LAUREL RD
LONDON, KY 40741-8601
Phone number: 606-877-3950
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Mailing Address
Mrs. TERESA TYRA
PO BOX 2328
LONDON, KY 40743-2328
Phone number: 606-877-3950
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