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1104377647
TYLER J ANTENEN
KINGMAN, KS
NPI
1104377647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 1501947)
Enumeration Date
2016-10-19
Last Update Date
2022-11-08
Business Address
TYLER J ANTENEN P.A.-C
750 W D AVE
KINGMAN, KS 67068-1266
Phone number: 620-532-0295
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Mailing Address
TYLER J ANTENEN P.A.-C
750 W D AVE
KINGMAN, KS 67068-1266
Phone number: 620-532-0295
Copy
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