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1013150580
JASON L BEATTY
ALPENA, MI
NPI
1013150580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5315056015)
Enumeration Date
2009-04-14
Last Update Date
2012-12-19
Business Address
-- JASON L BEATTY
1185 US HIGHWAY 23 N
ALPENA, MI 49707-8004
Phone number: 989-736-8157
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Mailing Address
-- JASON L BEATTY
1185 US HIGHWAY 23 N
ALPENA, MI 49707-8004
Phone number: 989-736-8157
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