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1417033390
MICHAEL ANDREW AVILES
PETALUMA, CA
NPI
1417033390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: CA 24720000x)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ANDREW AVILES
RALPH NIX CLINIC 599 TOMALES AVE.
PETALUMA, CA 94952
Phone number: 707-765-7195
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Mailing Address
Mr. MICHAEL ANDREW AVILES
430 ALASKA AVE APT C
PETALUMA, CA 94952-9109
Phone number:
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