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Individual

TYLER SCARBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
66A COURTHOUSE RD, CAMP LEJEUNE, NC 28542-0183
(910) 440-7704
(910) 440-7059
Mailing address
PSC 20183, CAMP LEJEUNE, NC 28542-0183
(910) 440-7704
(910) 440-7059

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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