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1396718102
PAUL S LAVEN
MESA, AZ
NPI
1396718102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 2821)
Enumeration Date
2006-02-10
Last Update Date
2022-05-10
Business Address
PAUL S LAVEN DO
2850 E MAIN ST
MESA, AZ 85213-9304
Phone number: 480-618-0019
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Mailing Address
PAUL S LAVEN DO
PO BOX 746093
ATLANTA, GA 30374-6093
Phone number: 773-759-7550
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