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1285126250
MILES AUSTIN TOMMERAASEN
CONCORD, NC
NPI
1285126250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NC 2024-03145)
Enumeration Date
2018-06-05
Last Update Date
2024-10-24
Business Address
Dr. MILES AUSTIN TOMMERAASEN MD
200 MEDICAL PARK DR STE 400
CONCORD, NC 28025-0939
Phone number: 704-786-1108
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Mailing Address
Dr. MILES AUSTIN TOMMERAASEN MD
200 MEDICAL PARK DR STE 400
CONCORD, NC 28025-0939
Phone number: 704-786-1108
Copy
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