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Individual

MARIE ANN TYNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
2406 MIDWAY DR, PHENIX CITY, AL 36869-7145
(706) 332-0320
Mailing address
2406 MIDWAY DR, PHENIX CITY, AL 36869-7145
(706) 332-0320

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000064156
GA

Other

Enumeration date
10/11/2017
Last updated
10/11/2017
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