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1396761003
HIMAT TANK
SANTA MARIA, CA
NPI
1396761003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA a35478)
Enumeration Date
2006-07-14
Last Update Date
2023-04-13
Business Address
HIMAT TANK m.d.
1505 SHEPARD DR STE 102
SANTA MARIA, CA 93454-7016
Phone number: 805-928-9300
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Mailing Address
HIMAT TANK m.d.
1505 SHEPARD DR STE 102
SANTA MARIA, CA 93454-7016
Phone number: 805-928-9300
Copy
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