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Individual

TYRA TUSSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
435 CLARK RD, JACKSONVILLE, FL 32218-5596
(904) 683-1425
Mailing address
435 CLARK RD, JACKSONVILLE, FL 32218-5596

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/12/2014
Last updated
02/12/2014
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Product
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  • Eligibility checks
  • EDI platform