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Individual

TYRONDA WHEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
117 ROCKY RIDGE ST, CARROLLTON, AL 35447-2139
(205) 463-6230
Mailing address
PO BOX 222, CARROLLTON, AL 35447-0222

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-054148
AL

Other

Enumeration date
01/13/2017
Last updated
01/13/2017
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