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1902415441
MARSHALL TYSON
ASHLAND, KY
NPI
1902415441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
MARSHALL TYSON
201 22ND ST
ASHLAND, KY 41101-7803
Phone number: 606-324-1141
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Mailing Address
MARSHALL TYSON
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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