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Individual

DR. MARY LYNN WYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
315 W WALL ST STE 100, GRAPEVINE, TX 76051-5284
(817) 410-2600
(817) 488-6452
Mailing address
315 W WALL ST STE 100, GRAPEVINE, TX 76051-5284
(817) 410-2600
(817) 488-6452

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J0735
TX

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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