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1790762953
MARK A MICHELON
SACRAMENTO, CA
NPI
1790762953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA INT17092)
Enumeration Date
2005-12-29
Last Update Date
2007-07-08
Business Address
-- MARK A MICHELON
2800 L ST SUITE 450
SACRAMENTO, CA 95816-5616
Phone number: 916-454-6744
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Mailing Address
-- MARK A MICHELON
2210 I ST APT. 2A
SACRAMENTO, CA 95816-4070
Phone number: 916-444-2381
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