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Individual
MR. TYLER GLYNN NUGENT
Active
Individual
MR. TYLER GLYNN NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AT7022
TX
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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