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1215007406
LEWIS CLAIR BROKAW
BATAVIA, OH
NPI
1215007406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 30012840)
Enumeration Date
2006-11-08
Last Update Date
2008-04-07
Business Address
Dr. LEWIS CLAIR BROKAW DDS
497 W MAIN ST
BATAVIA, OH 45103-1727
Phone number: 513-735-9111
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Mailing Address
Dr. LEWIS CLAIR BROKAW DDS
497 W MAIN ST
BATAVIA, OH 45103-1727
Phone number: 513-735-9111
Copy
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