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Individual

TYLER RYAN BARNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
(435) 723-1799
Mailing address
862 S MAIN SUITE 4, BRIGHAM CITY, UT 84302

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NO CURRENT INSURANCE
Enumeration date
09/15/2017
Last updated
09/15/2017
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