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1811979099
JACOB MICHAEL TAVERNA
BUTTE, MT
NPI
1811979099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MT 7657)
Enumeration Date
2005-11-15
Last Update Date
2008-01-21
Business Address
-- JACOB MICHAEL TAVERNA MD
435 S CRYSTAL ST SUITE 300
BUTTE, MT 59701-1506
Phone number: 406-496-3600
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Mailing Address
-- JACOB MICHAEL TAVERNA MD
435 S CRYSTAL ST SUITE 300
BUTTE, MT 59701-1506
Phone number: 406-496-3600
Copy
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