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1144622937
MICHAEL THOMAS PRENTICE
PLEASANTON, CA
NPI
1144622937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60497457)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
-- MICHAEL THOMAS PRENTICE PA-C
5000 HOPYARD RD STE 100
PLEASANTON, CA 94588-3146
Phone number: 925-924-1600
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Mailing Address
-- MICHAEL THOMAS PRENTICE PA-C
5000 HOPYARD RD STE 100
PLEASANTON, CA 94588-3146
Phone number: 925-924-1600
Copy
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