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1033105044
DOUGLAS A DEAETT
LEBANON, NH
NPI
1033105044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NH 5988)
Enumeration Date
2005-09-26
Last Update Date
2007-07-08
Business Address
-- DOUGLAS A DEAETT MD
125 MASCOMA ST
LEBANON, NH 03766-2647
Phone number: 603-448-3121
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Mailing Address
-- DOUGLAS A DEAETT MD
125 MASCOMA ST
LEBANON, NH 03766-2647
Phone number: 603-448-3121
Copy
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