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1306942792
GARY JOHN TEARE
FARMINGTON, NM
NPI
1306942792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM 98-PA13)
Enumeration Date
2006-09-15
Last Update Date
2007-12-12
Business Address
Mr. GARY JOHN TEARE PAC
3451 N BUTLER AVE
FARMINGTON, NM 87401
Phone number: 505-566-1915
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Mailing Address
Mr. GARY JOHN TEARE PAC
3451 N BUTLER AVE
FARMINGTON, NM 87401-2357
Phone number: 505-566-1915
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