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Individual

ALLISON RENAE TIEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3900 UNIVERSITY BLVD, TYLER, TX 75799-6600
(903) 565-5777
Mailing address
14080 PINE OVERLOOK DR, FLINT, TX 75762-8744
(936) 465-6720

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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