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TRAVIS LYNN WYLY D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1306892963

Individual Registrant:
 TRAVIS LYNN WYLY D.C.
Gender: M

Location and contact information for practice:
218 N MAIN ST  ENGLAND, AR 72046-1878 US
Tel: 501-842-1004  Fax: 501-842-1006

Contact information for business:
218 N MAIN ST  ENGLAND, AR 72046-1878 US
Tel: 501-842-1004  Fax: 501-842-1006

Registration Information:
NPI: 1306892963
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AR999

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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