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1659834836
MICHAEL TYLER COLESAR
FORT RICHARDSON, AK
NPI
1659834836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AK 195381)
Enumeration Date
2019-04-13
Last Update Date
2022-12-15
Business Address
MICHAEL TYLER COLESAR
688 6TH ST
FORT RICHARDSON, AK 99505
Phone number: 541-399-1269
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Mailing Address
MICHAEL TYLER COLESAR
1060 GAFFNEY RD
FORT WAINWRIGHT, AK 99703-5002
Phone number:
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