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Individual
DR. TIMMY RYAN THAYNE
Active
Individual
DR. TIMMY RYAN THAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
368382-3902
UT
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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