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1912521113
TYLER AMBORN
WAUWATOSA, WI
NPI
1912521113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15010)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
TYLER AMBORN DPT
2999 N MAYFAIR RD # 300
WAUWATOSA, WI 53222-4306
Phone number: 414-479-3737
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Mailing Address
TYLER AMBORN DPT
1563 HARRIS DR UNIT 6
GRAFTON, WI 53024-9017
Phone number: 715-314-1115
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