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1114379690
TYLER MARSHALL
FARMINGTON, NM
NPI
1114379690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM CRNA-01419)
Enumeration Date
2016-07-07
Last Update Date
2017-08-30
Business Address
-- TYLER MARSHALL CRNA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-6648
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Mailing Address
-- TYLER MARSHALL CRNA
2204 IRONWOOD PL STE B
COEUR D ALENE, ID 83814-2662
Phone number: 505-609-2258
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