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Individual
TYRELL C ERLEBACH
Active
Individual
TYRELL C ERLEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01031
NC
363A00000X
Physician Assistant
Primary
PA-816
ID
363A00000X
Physician Assistant
PA01464
OR
Other
Enumeration date
11/28/2007
Last updated
10/23/2012
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