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1679536585
ALAN EDWARD DEISSINGER
ALBUQUERQUE, NM
NPI
1679536585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA 81-005)
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
Mr. ALAN EDWARD DEISSINGER PA
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
Mr. ALAN EDWARD DEISSINGER PA
PO BOX 111
SANDIA PARK, NM 87047-0111
Phone number: 505-281-0416
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