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Individual

JON MICHAEL LINGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATP

Contact information

Practice address
1003 N NORTHEAST LOOP 323, TYLER, TX 75708-2014
(903) 352-3788
(903) 255-7830
Mailing address
4709 STRATFORD DR, TYLER, TX 75703-1535
(903) 216-5053

Taxonomy

Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
247200000X
Other Technician
Primary

Other

Enumeration date
07/14/2020
Last updated
07/15/2020
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