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Individual

TYRA HOARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
827 3 MILE RD, RACINE, WI 53402-2901
(863) 308-1318
Mailing address
7221 W WABASH AVE, MILWAUKEE, WI 53223-2608
(262) 402-8615

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325278
WI

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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