DANIEL LEWIS TYSON

CLOVIS, NM
NPI1245474667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-04-29
Last Update Date2009-04-29
Business Address
-- DANIEL LEWIS TYSON IDMT
208 W CASABLANCA AVE
CLOVIS, NM 88103-5009
Phone number: 575-784-7801
Mailing Address
-- DANIEL LEWIS TYSON IDMT
208 W CASABLANCA AVE
CLOVIS, NM 88103-5009
Phone number: 575-784-7801
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