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1770325359
MYCHAEL SHAWN HAYSBERT
SAN JOSE, CA
NPI
1770325359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-06-12
Last Update Date
2024-07-02
Business Address
Dr. MYCHAEL SHAWN HAYSBERT
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 408-299-0462
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Mailing Address
Dr. MYCHAEL SHAWN HAYSBERT
1059 REED AVE APT 46
SUNNYVALE, CA 94086-6860
Phone number: 408-643-3973
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