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1619439213
EMMANUEL JOHN TAVARES
ROSEVILLE, CA
NPI
1619439213
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Former Name
EMMANUELLE JOHN TAVARES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CA A179377)
Enumeration Date
2019-04-02
Last Update Date
2024-10-01
Business Address
EMMANUEL JOHN TAVARES MD
3 MEDICAL PLAZA DR STE 250
ROSEVILLE, CA 95661-3089
Phone number: 916-797-4720
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Mailing Address
EMMANUEL JOHN TAVARES MD
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number:
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