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1528549953
TYLER JUSTIN BOONSTRA
ALBUQUERQUE, NM
NPI
1528549953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NM PSY1530)
Enumeration Date
2018-08-23
Last Update Date
2023-07-14
Business Address
Dr. TYLER JUSTIN BOONSTRA Ph.D.
UNMH 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-4866
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Mailing Address
Dr. TYLER JUSTIN BOONSTRA Ph.D.
933 BRADBURY DR. SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number:
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