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1437898384
MICHAEL TYLER OWEN
ALBUQUERQUE, NM
NPI
1437898384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2023-0025)
Enumeration Date
2022-05-31
Last Update Date
2023-07-13
Business Address
Mr. MICHAEL TYLER OWEN PA
3401 4TH ST NW
ALBUQUERQUE, NM 87107-2423
Phone number: 505-994-5300
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Mailing Address
Mr. MICHAEL TYLER OWEN PA
4949 SAN PEDRO DR NE APT 40
ALBUQUERQUE, NM 87109-2551
Phone number: 575-706-4389
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