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Individual
MR. COURTNEY TAYLOR LYMAN
Active
Individual
MR. COURTNEY TAYLOR LYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114457843
—
UT
Enumeration date
04/25/2013
Last updated
01/27/2020
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