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1275120404
MITCHELL PRESTON KASS
ALBUQUERQUE, NM
NPI
1275120404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2022-0066)
Enumeration Date
2020-12-22
Last Update Date
2022-09-23
Business Address
MITCHELL PRESTON KASS PA-C
201 CEDAR ST SE STE 7600
ALBUQUERQUE, NM 87106-4921
Phone number: 505-563-2500
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Mailing Address
MITCHELL PRESTON KASS PA-C
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 504-923-6770
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