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1568029239
ANDREW THOMAS THEUS
ESTANCIA, NM
NPI
1568029239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2019-0052)
Enumeration Date
2019-05-28
Last Update Date
2019-07-16
Business Address
ANDREW THOMAS THEUS PA-C
903 5TH ST # C
ESTANCIA, NM 87016-1155
Phone number: 505-384-2777
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Mailing Address
ANDREW THOMAS THEUS PA-C
PO BOX 305
EDGEWOOD, NM 87015-0305
Phone number: 706-575-8004
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