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1487287413
THOMAS CLISE
ALBUQUERQUE, NM
NPI
1487287413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
THOMAS CLISE
629 SAN PABLO ST NE
ALBUQUERQUE, NM 87108-2137
Phone number: 505-730-2329
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Mailing Address
THOMAS CLISE
629 SAN PABLO ST NE
ALBUQUERQUE, NM 87108-2137
Phone number: 505-730-2329
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