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1306941083
TY PRESTON AFFLECK
SANTA ROSA, CA
NPI
1306941083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: CA G073843)
Enumeration Date
2006-09-14
Last Update Date
2009-05-11
Business Address
Mr. TY PRESTON AFFLECK MD
1255 N DUTTON AVE
SANTA ROSA, CA 95401-4663
Phone number: 707-546-9400
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Mailing Address
Mr. TY PRESTON AFFLECK MD
1255 N DUTTON AVE
SANTA ROSA, CA 95401-4663
Phone number: 707-546-9400
Copy
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