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Individual

MICHAEL MCTERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11801 DEL REY AVE NE, ALBUQUERQUE, NM 87122-2418
(505) 506-1284
Mailing address
11801 DEL REY AVE NE, ALBUQUERQUE, NM 87122-2418
(505) 506-1284

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
12609
NM

Other

Enumeration date
05/11/2021
Last updated
05/11/2021
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