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Individual

RYAN MICHAEL TULLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 841-9651
Mailing address
2055 N MAIN ST, TOOELE, UT 84074-9819

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
2011906001
UT

Other

Enumeration date
03/17/2020
Last updated
03/17/2020
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