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Individual

TONY TRE LYBARGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
111 S GRANT AVE FL 3, COLUMBUS, OH 43215-4701
(614) 566-9871
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020297
OH

Other

Enumeration date
02/09/2021
Last updated
05/26/2021
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