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1154334381
LAVERN R DAVIDHIZAR
SOLDOTNA, AK
NPI
1154334381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AK 1454)
Enumeration Date
2006-08-15
Last Update Date
2012-10-16
Business Address
DR. LAVERN R DAVIDHIZAR DO
206 W ROCKWELL AVE SUITE 100
SOLDOTNA, AK 99669-7411
Phone number: 907-262-7566
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Mailing Address
DR. LAVERN R DAVIDHIZAR DO
206 W ROCKWELL AVE SUITE 100
SOLDOTNA, AK 99669
Phone number: 907-262-7566
Copy
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