Individual
WILLIAM TYLER DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
55 ARNETT RD, HATTIESBURG, MS 39401-9486
(769) 223-3800
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
MS
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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