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1861486425
KYLE JERRY MICHAELIS
TRAVIS AFB, CA
NPI
1861486425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA A93950)
Enumeration Date
2005-09-09
Last Update Date
2008-10-06
Business Address
Dr. KYLE JERRY MICHAELIS MD
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-5011
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Mailing Address
Dr. KYLE JERRY MICHAELIS MD
466 PEACOCK WAY
VACAVILLE, CA 95688-8783
Phone number: 707-631-8476
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