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1295719334
MICHAEL ROSS
TRAVIS AFB, CA
NPI
1295719334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: CA PT 27865)
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL ROSS
124 BRADLEY BLVD
TRAVIS AFB, CA 94535-1340
Phone number: 707-423-7899
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Mailing Address
Dr. MICHAEL ROSS
124 BRADLEY BLVD
TRAVIS AFB, CA 94535-1340
Phone number:
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