BEGIN:VCARD VERSION:3.0 FN:Ryan Tyler N:Tyler;Ryan;;; TITLE:Personal Care Attendant TEL;TYPE=WORK,VOICE:+17028159012 URL:https://www.gale.care/providers/nv/las-vegas/ryan-tyler-1447866934 NOTE:NPI 1447866934. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1447866934 END:VCARD