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1033270715
THEODORE DANIEL HAEUSSNER
SAINT AUGUSTINE, FL
NPI
1033270715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN16354)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Dr. THEODORE DANIEL HAEUSSNER D.M.D.
4 SAINT JOHNS MEDICAL PK DR
SAINT AUGUSTINE, FL 32086-5298
Phone number: 904-797-9009
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Mailing Address
Dr. THEODORE DANIEL HAEUSSNER D.M.D.
4 SAINT JOHNS MEDICAL PK DR
SAINT AUGUSTINE, FL 32086-5298
Phone number: 904-797-9009
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