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1912524968
TYSON MELLISH ANTHONY
TRINITY, FL
NPI
1912524968
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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
2020-06-25
Last Update Date
2023-06-30
Business Address
Dr. TYSON MELLISH ANTHONY Doctor of Medicine
9330 STATE ROAD 54
TRINITY, FL 34655-1808
Phone number: 207-352-8273
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Mailing Address
Dr. TYSON MELLISH ANTHONY Doctor of Medicine
9330 STATE ROAD 54
NEW PORT RICHEY, FL 34655-1808
Phone number: 207-352-8273
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