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TYLER MORRIS POOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
3026 WESTSIDE ST, GRAND ISLAND, NE 68803-2336
(308) 390-4516

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
358
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
358
NEBRASKA DHHS
NE
Enumeration date
08/22/2017
Last updated
08/22/2017
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