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1326317769
MICHAEL JOHN IAVARONE
SANTA ROSA, CA
NPI
1326317769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 13766)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
MR. MICHAEL JOHN IAVARONE L.AC
2255 CHALLENGER WAY STE 104
SANTA ROSA, CA 95407-5423
Phone number: 805-773-9608
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Mailing Address
MR. MICHAEL JOHN IAVARONE L.AC
1235 MELISSA CT
SANTA ROSA, CA 95409-2525
Phone number: 805-773-9608
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