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Individual

MICHAEL ALAN SEVERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
2750 S PRIEST DR, TEMPE, AZ 85282-3339
(480) 736-4472
Mailing address
12422 W SHARON DR, EL MIRAGE, AZ 85335-7257
(602) 819-9453

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7505
AZ

Other

Enumeration date
12/27/2011
Last updated
12/27/2011
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