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1235114729
MICHAEL S HAVERTY
SANTA MARIA, CA
NPI
1235114729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G53646)
Enumeration Date
2005-12-07
Last Update Date
2014-03-04
Business Address
Dr. MICHAEL S HAVERTY MD
2342 PROFESSIONAL PKWY SUITE 260
SANTA MARIA, CA 93455-1629
Phone number: 805-348-3910
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Mailing Address
Dr. MICHAEL S HAVERTY MD
2342 PROFESSIONAL PKWY SUITE 260
SANTA MARIA, CA 93455-1629
Phone number: 805-348-3910
Copy
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