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1346297769
PAUL A MIKKELSON
FARMINGTON, NM
NPI
1346297769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM MD2005-0318)
Enumeration Date
2006-05-30
Last Update Date
2008-02-19
Business Address
Dr. PAUL A MIKKELSON M.D.
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-325-5011
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Mailing Address
Dr. PAUL A MIKKELSON M.D.
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-324-2258
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