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1992076111
BENJAMIN C. TYAU
BRUNSWICK, ME
NPI
1992076111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5007)
Enumeration Date
2012-01-19
Last Update Date
2019-06-20
Business Address
Mr. BENJAMIN C. TYAU PA-C
193 BATH RD
BRUNSWICK, ME 04011
Phone number: 207-424-2272
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Mailing Address
Mr. BENJAMIN C. TYAU PA-C
1321 N MARTINGALE RD
GILBERT, AZ 85234-1701
Phone number: 480-452-6660
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