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Individual

TYANNE I GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2260
(717) 763-2261
Mailing address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2260
(717) 763-2261

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SP026685
PA

Other

Enumeration date
01/05/2023
Last updated
01/05/2023
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