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Individual
TISA A AYUSO
Active
Individual
TISA A AYUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
048692
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2706-321
WI
2084P0804X
Child & Adolescent Psychiatry Physician
73136
MN
Other
Enumeration date
11/20/2009
Last updated
07/02/2025
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