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Individual

TYLER LEE YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSN, RN

Contact information

Practice address
19825 N 15TH AVE, PHOENIX, AZ 85027-4305
(623) 445-3910
Mailing address
19825 N 15TH AVE, PHOENIX, AZ 85027-4305
(623) 445-3910

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
273315
AZ

Other

Enumeration date
01/13/2023
Last updated
01/13/2023
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