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Individual

AUSTIN R TINSLEY

Active
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Individual

AUSTIN R TINSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34610
MO
261QR1300X
Rural Health Clinic/Center
—
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331452
—
MO
Enumeration date
02/03/2006
Last updated
10/13/2011
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