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Individual
MR. TYRELL ANTHONY COMEAUX
Active
Individual
MR. TYRELL ANTHONY COMEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10178292
OR
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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