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1659578383
MICHAEL VAN DYKE
UKIAH, CA
NPI
1659578383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12445)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
-- MICHAEL VAN DYKE PA-C
275 HOSPITAL DR
UKIAH, CA 95482-4531
Phone number: 707-462-7900
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Mailing Address
-- MICHAEL VAN DYKE PA-C
142 RENZ LN
GEYSERVILLE, CA 95441-9581
Phone number: 707-857-4708
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