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1134458433
KENNETH B HAWTHORNE JR MD PA
ORMOND BEACH, FL
NPI
1134458433
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Entity Type
Organization
Authorized Contact
KENNETH B HAWTHORNE
President/Owner
386-671-0115
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2009-12-15
Last Update Date
2011-10-03
Business Address
KENNETH B HAWTHORNE JR MD PA
106 N OLD KINGS RD STE E
ORMOND BEACH, FL 32174-9505
Phone number: 386-671-0115
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Mailing Address
KENNETH B HAWTHORNE JR MD PA
106 N OLD KINGS RD STE E
ORMOND BEACH, FL 32174-9505
Phone number: 386-671-0115
Copy
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