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1124073200
MICHAEL J PUTNAM
SAN JOSE, CA
NPI
1124073200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17820)
Enumeration Date
2006-05-24
Last Update Date
2007-11-26
Business Address
-- MICHAEL J PUTNAM P.A-C
225 N JACKSON AVE
SAN JOSE, CA 95116-1603
Phone number: 408-923-7121
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Mailing Address
-- MICHAEL J PUTNAM P.A-C
2100 POWELL ST STE 920
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2777
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