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Individual
TYLER JON SUTTON
Active
Individual
TYLER JON SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60927034
WA
363L00000X
Nurse Practitioner
Primary
AP61366229
WA
Other
Enumeration date
07/19/2022
Last updated
01/24/2023
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