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Individual

RAYMOND MILTON TYLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
805 S MAIN ST, LAS CRUCES, NM 88001-1240
(575) 524-2262
(575) 524-9140
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
136353
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136353
TEXAS BOARD OF NURSING
TX
Enumeration date
02/07/2020
Last updated
02/07/2020
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