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1205043064
DOUGLAS JAMES HAZEL
MISHAWAKA, IN
NPI
1205043064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12006605A)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS JAMES HAZEL DDS
544 LINCOLN WAY W
MISHAWAKA, IN 46544-1844
Phone number: 574-255-6052
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Mailing Address
Dr. DOUGLAS JAMES HAZEL DDS
544 LINCOLN WAY W
MISHAWAKA, IN 46544-1844
Phone number: 574-255-6052
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