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1225323173
STEPHEN IRA CHAVIN
SANTA ROSA, CA
NPI
1225323173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA 88528)
Enumeration Date
2011-06-17
Last Update Date
2011-06-17
Business Address
Dr. STEPHEN IRA CHAVIN M.D.
4722 FOULGER DR
SANTA ROSA, CA 95405-7910
Phone number: 707-539-6625
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Mailing Address
Dr. STEPHEN IRA CHAVIN M.D.
4722 FOULGER DR
SANTA ROSA, CA 95405-7910
Phone number: 707-539-6625
Copy
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