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Individual

TAMRA DEE MYHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L

Contact information

Practice address
925 FRANKLIN ST SE STE A, HUNTSVILLE, AL 35801-4307
(256) 265-5000
Mailing address
25907 WINTERWOOD DR, MADISON, AL 35756-5208
(256) 679-8881

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
432
AL

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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