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Individual
TYLER ANDREW INGHAM
Active
Individual
TYLER ANDREW INGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2311360
MA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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