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1962035964
TYLER TRENTON WANSLEY
MANDEVILLE, LA
NPI
1962035964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 211117)
Enumeration Date
2020-02-18
Last Update Date
2020-04-29
Business Address
Dr. TYLER TRENTON WANSLEY DNP, PMHNP-BC
23515 US-190
MANDEVILLE, LA 70448
Phone number: 985-626-6300
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Mailing Address
Dr. TYLER TRENTON WANSLEY DNP, PMHNP-BC
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-626-6300
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